Tracey M Modeste
Internal Medicine in Naugatuck, Connecticut
1871025973- Practice location
- 305 Church St Ste 15, Naugatuck, CT 06770-2836
- Phone
- 203-729-6641
- Fax
- 203-575-5206
- Last updated
- January 21, 2022
Tracey Melissa Modeste is an Internal Medicine based in Naugatuck, CT. Tracey Melissa Modeste practices in Naugatuck, CT. The NPI Number for Tracey Melissa Modeste is 1871025973 and holds a License No. 66924 (CT). The current practice location address for Tracey Melissa Modeste is 305 Church St Ste 15, Naugatuck, CT 06770-2836 and can be reached out via phone at 203-729-6641 and via fax at 203-575-5206.
Provider Profile Details
- NPI Number
- 1871025973
- Provider Name
- Tracey Melissa Modeste
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 305 Church St Ste 15, Naugatuck, CT 06770-2836
- Phone Number
- 203-729-6641
- Fax Number
- 203-575-5206
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Other Names
- -- Tracey Mellisa Gaff (Former Name)
- Provider Enumeration Date
- March 29, 2017
- Last Update Date
- January 21, 2022
- Certification Date
- January 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 305 Church St Ste 15
Naugatuck, CT 06770-2836 - City
- Naugatuck
- State
- Connecticut
- Zip
- 06770-2836
- Phone Number
- 203-729-6641
- Fax Number
- 203-575-5206
Provider Business Mailing Address Details
- Address
- 64 Robbins Street
Waterbury Hospital,
Waterbury, CT 06708 - City
- Waterbury
- State
- CT
- Zip
- 06708
- Phone Number
- 203-573-6162
- Fax Number
- 203-573-6707
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 66924
- License State (2)
- CT
- Taxonomy (2)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Tracey M Modeste?
The NPI number of Tracey M Modeste is 1871025973. It was assigned on March 29, 2017 and is currently active in the NPPES registry.
What is the specialty of Tracey M Modeste?
Tracey M Modeste is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 66924.
Where does Tracey M Modeste practice?
The practice location is 305 Church St Ste 15, Naugatuck, CT 06770-2836. The office can be reached at 203-729-6641 (phone) or 203-575-5206 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871025973 directly on the NPPES registry website.