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Individual

TRACI L BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1264
(617) 665-1835
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1264
(617) 665-1835

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
154248
MA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
154248
MA

Other

Enumeration date
06/05/2006
Last updated
08/20/2015
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