Organization
INTERNAL MEDICINE OF MILFORD, P.C.
Active
Other names
Internal Medicine of Milford
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD C TRACY M.D. (M.D./VICE PRESIDENT)
(203) 878-3531
Entity
Organization
Contact information
Practice address
40 COMMERCE PARK, MILFORD, CT 06460-3535
(203) 878-3531
(203) 701-0389
Mailing address
40 COMMERCE PARK, MILFORD, CT 06460-3535
(203) 878-3531
(203) 701-0389
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
CT
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11001594
MEDICARE GROUP NUMBER
CT
05
—
4083036
—
CT
Enumeration date
09/27/2007
Last updated
09/18/2017
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