Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Tracy S Godfrey, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265189153

Dr. Tracy S Godfrey, MD is a Student in an Organized Health Care Education/Training Program in New Haven, Connecticut. Practices as a sole proprietor. Licensed in Puerto Rico.

Licensed in
PR
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

421 Whitney Ave Apt 4
New Haven, CT 06511-2342
Phone: (203) 215-5074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 16088-I (PR)

Record details

NPI number1265189153
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 9, 2022
Last updated in NPPESMarch 9, 2022
Certification dateMarch 9, 2022

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