Search › Connecticut › 207R00000X
Tracey Modeste
NPI 1871025973 · on the registry since 2017
Practice
- Address
- 305 Church St Ste 15
Naugatuck, CT 06770 - Phone
- (203) 729-6641
- Fax
- (203) 575-5206
- Organisation at this address
- Naugatuck Diagnostic Imaging
Above And Beyond Community ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 17
Additional practice sites
- 160 Robbins Street, Waterbury, CT
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 390200000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-01-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut