Daley, Tracey Lorraine
Daley, Tracey Lorraine is an individual health care provider with primary practice located at 1 Brookline Pl Ste 327, Brookline MA 02445-7294. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Daley, Tracey Lorraine can be contacted via phone (617) 735-8585.Contact Information
Primary practice address
1 Brookline Pl Ste 327
Brookline MA 02445-7294
Phone: (617) 735-8585
Fax: (617) 232-0572
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 204635 | Massachusetts |
Profile Details
| NPI number | 1770574402 |
|---|---|
| LBN Legal business name | Daley, Tracey Lorraine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770574402 | NPPES |
| Massachusetts | MEDICAID | 0151521 | |
| Massachusetts | Other | J23165 | |
| Massachusetts | Other | 204635 |
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