Individual
TRACEY YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
501 N LANSDOWNE AVE, DREXEL HILL, PA 19026-1114
(610) 284-8409
Mailing address
501 N LANSDOWNE AVE, DREXEL HILL, PA 19026-1114
(610) 284-8409
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS008830L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001660623
—
PA
Enumeration date
03/17/2006
Last updated
09/27/2010
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