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Individual

TRACY ALONGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1523 SCHLEY ST APT 3, HILLSIDE, NJ 07205-1256
(347) 272-3182
Mailing address
1523 SCHLEY ST APT 3, HILLSIDE, NJ 07205-1256
(347) 272-3182

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NJ01371700
NJ
363LF0000X
Family Nurse Practitioner
26NJ01371700
NJ
364SF0001X
Family Health Clinical Nurse Specialist
Primary
26NJ01371700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000000
0000000000
Enumeration date
09/29/2022
Last updated
04/24/2024
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