person
Ms. Tracy G Civitillo, MHS,PA-C
Medical Physician Assistant in Hartford, Connecticut
NPI 1639235609

Tracy G Civitillo is a Medical Physician Assistant based in Simsbury, CT and is specialized in Medical. Tracy G Civitillo practices in Hartford, CT and has the professional credentials of MHS,PA-C. The NPI Number for Tracy G Civitillo is 1639235609 and holds a License No. 000974 (Connecticut).

The current practice location address for Tracy G Civitillo is 500 Blue Hills Ave, Hartford, CT and can be reached out via phone at 860-714-4000.

Location: 500 Blue Hills Ave, Hartford, CT, 06070-2832
person
Provider Profile Details
NPI Number
1639235609
Provider Name
Tracy G Civitillo
Credential
MHS,PA-C
Provider Entity Type
Individual
Gender
Female
Address
500 Blue Hills Ave, Hartford, CT, 06070-2832
Phone Number
860-714-4000
Fax Number
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C03656 01 CT MEDICARE
institution
Provider Business Practice Location Address Details
Address
500 Blue Hills Ave
City
State
Zip
06112-1500
Phone Number
860-714-4000
Fax Number
person
Provider Business Mailing Address Details
Address
500 Blue Hills Ave
City
State
Zip
06112-1500
Phone Number
860-714-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
000974 (Connecticut)
Definition
Definition to come...
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