Individual
TRACY L BROBYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 MULLICA HILL RD, GLASSBORO, NJ 08028-1700
(856) 256-4333
(856) 256-4427
Mailing address
201 MULLICA HILL RD, GLASSBORO, NJ 08028-1700
(856) 256-4333
(856) 256-4427
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA06296300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080194340
RR MEDICARE
—
05
—
8308900
—
NJ
Enumeration date
10/18/2006
Last updated
11/17/2015
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