Individual
MARSHA M TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 WABAN HILL RD N, CHESTNUT HILL, MA 02467-1055
(617) 964-6623
Mailing address
100 WABAN HILL RD N, CHESTNUT HILL, MA 02467-1055
(617) 964-6623
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
37626
MA
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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