Individual
DR. TRACEY A DECHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 ALBANY STREET, SHAPIRO SUITE 3A, BOSTON, MA 02118
(617) 414-4861
(617) 414-3617
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
243667
MA
2086S0102X
Surgical Critical Care Physician
Primary
243667
MA
2086S0127X
Trauma Surgery Physician
243667
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110085677A
—
MA
Enumeration date
05/22/2007
Last updated
06/26/2014
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