Doctor Name: | TRACY E PATEL |
NPI Number: | 1013144369 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 53773 |
Business Practice Address: | 711 Cottage Grove Rd Bloomfield, CT - 060023060 |
Business Phone Number: | 8602428756 |
Business Fax Number: | 8602423052 |
Mailing Address: | 711 Cottage Grove Rd, BLOOMFIELD |
State: | CT |
Postal Code: | 060023060 |
Phone Number: | 8602428756 |
Fax Number: | 8602423052 |
NPI Enumeration Date: | 06/14/2009 |
NPI Last Update Date: | 11/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 53773 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |