Individual provider · Type 1 NPI

Tracy S. Godfrey, MD

Student in an Organized Health Care Education/Training Program · New Haven, CT

NPI number 1265189153 Active

Practice location

421 Whitney Ave Apt 4
New Haven, CT 06511-2342

Call (203) 215-5074 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X16088-I (PR)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1265189153

Tracy S. Godfrey, MD's National Provider Identifier is 1265189153, issued on Mar 9, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Haven, CT. The record was last updated on Mar 9, 2022.