Individual
TRACY LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
85 SEYMOUR ST, SUITE 1019, HARTFORD, CT 06106-5501
(860) 246-4029
(860) 240-7072
Mailing address
PO BOX 587, ROCKY HILL, CT 06067-0587
(860) 258-3480
(860) 571-6800
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036634
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00133634400
—
CT
Enumeration date
09/14/2006
Last updated
12/20/2012
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