Individual provider · Type 1 NPI

Tracy G. Civitillo, MHS, PA-C

Medical Physician Assistant · Hartford, CT

NPI number 1639235609 Active

Practice location

500 Blue Hills Ave
Hartford, CT 06112-1500

Call (860) 714-4000 Map

Mailing address

71 Hickory Hill Rd
Simsbury, CT 06070-2832

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X000974 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1639235609

Tracy G. Civitillo, MHS, PA-C's National Provider Identifier is 1639235609, issued on Dec 27, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hartford, CT. The record was last updated on Sep 17, 2010.