Robert J Trace Jr Md Pa

LBN: Robert J Trace Jr Md Pa
Robert J Trace Jr Md Pa is an health care organization with primary practice located at 121 E Antietam St , Hagerstown MD 21740-5601. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Robert J Trace Jr Md Pa can be contacted via phone (301) 739-2560, or through Trace, Robert John via phone (301) 739-2560.

Contact Information

Primary practice address
121 E Antietam St Hagerstown MD 21740-5601
Phone: (301) 739-2560
Fax: (301) 739-0266
Website:
Map and Directions
Authorized official contact:
Name: Trace, Robert John Doctor of Medicine (MD)
Phone: (301) 739-2560

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X D22012 Maryland

Profile Details

NPI number 1043541147
LBN Legal business name Robert J Trace Jr Md Pa
DBA Doing business as
Authorized official Trace, Robert John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2010
Last updated Jan 29th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043541147 NPPES
Maryland MEDICAID 964111400MD

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