Individual
ROBERT W TRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8901 WISCONSIN AVE, BETHESDA, MD 20889-5285
(301) 319-4457
Mailing address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0004
(301) 295-4290
(301) 319-8071
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101240463
VA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
0101240463
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103217419
—
PA
Enumeration date
09/06/2006
Last updated
04/01/2024
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