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Organization

INTERNAL MEDICINE OF MILFORD, P.C.

Active
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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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