Individual
TRACIE CONFORTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
241 FORSGATE DR STE 101, JAMESBURG, NJ 08831-1385
(732) 521-4663
Mailing address
241 FORSGATE DR STE 101, JAMESBURG, NJ 08831-1385
(732) 521-4663
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
HP0290100
NJ
Other
Enumeration date
02/04/2021
Last updated
02/10/2021
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