Individual
PHILIP TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 793-2920
Mailing address
800 WASHINGTON ST, BOSTON, MA 02111-1552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
280247
MA
207RH0003X
Hematology & Oncology Physician
Primary
MD20544
RI
207RX0202X
Medical Oncology Physician
MD20544
RI
Other
Enumeration date
04/15/2019
Last updated
06/12/2025
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