Tracey H Fan is a Boston, Massachusetts based neurologist who is specialized in Neurology. Active license number of Tracey H Fan is 287765 for Neurology in Massachusetts. Her current practice location is 55 Fruit St # 721j, Boston. Patients can reach her at 617-726-2000. Tracey H Fan is D.O in Neurology and her NPI number (Unique professional ID assigned by NPPES) is 1174055784. Tracey H Fan 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.
Complete Profile:
Tracey H Fan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Tracey H Fan
Specialization:
Neurology
Gender:
Female
Credentials:
D.O
Practice Address:
55 Fruit St # 721j, Boston, Massachusetts, 02114-2696
Phone:
617-726-2000
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
NPI Number:
1174055784
NPI Enumeration Date:
02 Apr, 2017
NPI Last Update On:
28 Feb, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tracey H Fan are as mentioned below.
License Number
Specialization
State
Status
287765
Neurology
Massachusetts
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Tracey H Fan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
SA6390894
Other
Massachusetts
DRIVER LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Tracey H Fan 20 Englewood Ave Apt 104, Brookline, Massachusetts
Zip:
02445-2072
Patients can reach Tracey H Fan at 55 Fruit St # 721j, Boston, Massachusetts or can call to book an appointment on 617-726-2000.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.