Individual
JASON A TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 DEACONESS RD, DEPT OF EMERGENCY MEDICINE, BOSTON, MA 02215-5321
(617) 754-2379
Mailing address
1 DEACONESS RD, DEPT OF EMERGENCY MEDICINE, BOSTON, MA 02215-5321
(617) 754-2379
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
217317
MA
Other
Enumeration date
06/02/2006
Last updated
09/06/2007
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