Jeremiah Charles Tracy

NPI #1215166889 in Worcester, Massachusetts

Provider Information

NPI Number: 1215166889
Entity Type: Individual
Name: Jeremiah Charles Tracy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Otolaryngology
Enumeration Date: Jul 4, 2009
Last Updated: Nov 4, 2016

Practice Location

Address: 55 LAKE AVE N
City: Worcester
State: Massachusetts
ZIP Code: 01655-0002
Phone: (508) 856-4161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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