Individual
DR. GREGORY J TRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
79 HUDSON ST STE 500, HOBOKEN, NJ 07030-5642
(201) 653-7450
Mailing address
241 PROSPECT AVE, ORADELL, NJ 07649-2316
(201) 966-4607
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA06653300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7489609
—
NJ
Enumeration date
07/19/2006
Last updated
09/23/2014
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