Individual
TRACEY COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
152 CENTRAL AVE, CLARK, NJ 07066-1115
(732) 382-9700
Mailing address
730 ERUDO ST, LINDEN, NJ 07036-5732
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00885100
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ00885100
NJ
Other
Enumeration date
12/04/2018
Last updated
01/29/2026
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