Individual
TODD CHRISTIAN TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 COMMERCE PARK, MILFORD, CT 06460
(203) 878-3531
(203) 876-2169
Mailing address
40 COMMERCE PARK, MILFORD, CT 06460
(203) 878-3531
(203) 876-2169
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
037452
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01037452
NMO CIGNA
CT
05
—
1374529
—
CT
01
—
760889
HMO CONNECTICARE
CT
Enumeration date
10/26/2006
Last updated
07/05/2011
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