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Tracey H Fan, DO
Neurology Physician in Boston, Massachusetts
NPI 1174055784

Tracey H Fan is a Neurology Physician based in Brookline, MA and is specialized in Neurology. Tracey H Fan practices in Boston, MA and has the professional credentials of DO. The NPI Number for Tracey H Fan is 1174055784 and holds a License No. 287765 (Massachusetts).

The current practice location address for Tracey H Fan is 55 Fruit St # 721J, Boston, MA and can be reached out via phone at 617-726-2000.

Location: 55 Fruit St # 721J, Boston, MA, 02445-2072
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174055784
Provider Name
Tracey H Fan
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
55 Fruit St # 721J, Boston, MA, 02445-2072
Phone Number
617-726-2000
Fax Number
Provider Enumeration Date
04/02/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SA6390894 01 MA DRIVER LICENSE
institution
Provider Business Practice Location Address Details
Address
55 Fruit St # 721J
City
Boston
State
Massachusetts
Zip
02114-2696
Phone Number
617-726-2000
Fax Number
person
Provider Business Mailing Address Details
Address
55 Fruit St # 721J
City
Boston
State
Massachusetts
Zip
02114-2696
Phone Number
617-726-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
287765 (Massachusetts)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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