NPI 1982248902

Tracy Cook, LE

Practitioner Specialist Farmington, CT

Practice location

Address: 1533 New Britain Ave STE 2, Farmington, CT 06032-3378
Phone: (860) 678-8200
Fax: (860) 678-0368

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 000525 (CT)

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Registry record

NPI: 1982248902
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Nov 2019
Record last updated: 2 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.