Individual
DR. TRACEY ENLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
125 PATERSON ST, NEW BRUNSWICK, NJ 08901-1962
(732) 235-7827
(732) 235-6131
Mailing address
66 WEST GILBERT ST, RED BANK, NJ 07701
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA08192300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0168025
—
NJ
Enumeration date
07/18/2007
Last updated
03/12/2010
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