Individual
DR. KEITH T TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
780 MAIN ST, S WEYMOUTH, MA 02190-1622
(781) 331-4600
(781) 337-5095
Mailing address
780 MAIN ST, S WEYMOUTH, MA 02190-1622
(781) 331-4600
(781) 337-5095
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
227369
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116191
FALLON
MA
01
—
1238590
AETNA
MA
01
—
1847716
CIGNA
MA
05
—
2119561
—
MA
01
—
494983
TUFTS HEALTH PLAN
MA
01
—
AA62481
HARVARD PILGRIM
MA
01
—
J40295
BLUE SHIELD
MA
Enumeration date
05/03/2006
Last updated
01/04/2016
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