Tracy E Benjamin, PA
Physician Assistant, Surgical in New Haven, CT. Individual provider (NPI-1).
NPI number1922085885
StatusActive
Last updated in NPPESApr 4, 2019
Details
- NPI
- 1922085885
- Entity type
- Individual (NPI-1)
- Name
- Ms. Tracy E Benjamin
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 30, 2005
- Last updated
- Apr 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 000704 | CT | Yes |
Practice location
Yale New Haven Hospital1450 Chapel Street
New Haven, CT 06511
Phone 203-789-3000
Mailing address
40 Hart StBuilding A Floor 3
New Britain, CT 06052-1743
Phone 860-225-1227 · Fax 860-225-1253
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