NPI 1215166889

Jeremiah Charles Tracy

Practitioner Otolaryngology Physician Worcester, MA

Practice location

Address: 55 Lake Ave N, Worcester, MA 01655-0002
Phone: (508) 856-4161
Fax: (508) 856-6703
Mailing address: PO Box 415348, Boston, MA 02241-5348

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 257266 (MA)

Other Otolaryngology providers in Massachusetts →

Registry record

NPI: 1215166889
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jul 2009
Record last updated: 4 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.