Individual
TRACEY L EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
609 W GERMANTOWN PIKE BLDG SUITE280, EAST NORRITON, PA 19403-4243
(484) 622-7440
(484) 622-7455
Mailing address
101 E OLNEY AVE STE 400, PHILADELPHIA, PA 19120-2470
(215) 456-1825
(610) 645-4456
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD419780
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019113850001
—
PA
Enumeration date
06/14/2006
Last updated
09/21/2024
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