Individual
JUDITH TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
33 OVERLOOK RD, SUMMIT, NJ 07901-3570
(908) 277-4480
Mailing address
11 NEW PROVIDENCE AVE, SUMMIT, NJ 07901-1210
(908) 251-3969
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00926500
NJ
Other
Enumeration date
06/15/2019
Last updated
06/15/2019
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