Tracy L Persily, DO
Family Medicine in Willingboro, New Jersey
1568804912- Practice location
- 200 Campbell Dr Ste 115, Willingboro, NJ 08046-1067
- Phone
- 856-536-1515
- Fax
- —
- Last updated
- October 8, 2024
Tracy Logan Persily is a Family Medicine based in Willingboro, NJ. Tracy Logan Persily practices in Willingboro, NJ and has the professional credentials of DO. The NPI Number for Tracy Logan Persily is 1568804912 and holds a License No. 25MB09743400 (NJ). The current practice location address for Tracy Logan Persily is 200 Campbell Dr Ste 115, Willingboro, NJ 08046-1067 and can be reached out via phone at 856-536-1515.
Provider Profile Details
- NPI Number
- 1568804912
- Provider Name
- Tracy Logan Persily
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 200 Campbell Dr Ste 115, Willingboro, NJ 08046-1067
- Phone Number
- 856-536-1515
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 26, 2013
- Last Update Date
- October 8, 2024
- Certification Date
- October 8, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Campbell Dr Ste 115
Willingboro, NJ 08046-1067 - City
- Willingboro
- State
- New Jersey
- Zip
- 08046-1067
- Phone Number
- 856-536-1515
Provider Business Mailing Address Details
- Address
- 1 Federal St Ste 200
Camden, NJ 08103-1088 - City
- Camden
- State
- NJ
- Zip
- 08103-1088
- Phone Number
- 848-288-6935
- Fax Number
- 732-790-0107
License Information
- License Number
- 25MB09743400
- License State
- NJ
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Willingboro, NJ
View all Family Medicine providers in Willingboro →- Dr. Christopher Salerno, DOFamily Medicine · NPI 1194838060
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- Dr. Marvin A Weinar, MDFamily Medicine · NPI 1114023363
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Frequently Asked Questions
What is the NPI number of Tracy L Persily, DO?
The NPI number of Tracy L Persily, DO is 1568804912. It was assigned on July 26, 2013 and is currently active in the NPPES registry.
What is the specialty of Tracy L Persily, DO?
Tracy L Persily, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MB09743400.
Where does Tracy L Persily, DO practice?
The practice location is 200 Campbell Dr Ste 115, Willingboro, NJ 08046-1067. The office can be reached at 856-536-1515 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568804912 directly on the NPPES registry website.