Individual
THOMAS F. TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8342
(717) 531-4185
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
MD09425
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3165027
—
MA
05
—
9020408
—
RI
Enumeration date
07/14/2005
Last updated
09/06/2017
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