Individual
DR. TRACY TODD BATCHELOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
60 FENWOOD RD # YAW9, BOSTON, MA 02115-6128
(617) 732-5500
(617) 724-8769
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
81733
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3147266
—
MA
01
—
727787
TUFTS HEALTH PLAN
MA
01
—
J31719
BCBS MA
MA
Enumeration date
10/27/2005
Last updated
01/17/2019
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