Enlow, Tracey

Enlow, Tracey is an individual health care provider with primary practice located at 125 Paterson St , New Brunswick NJ 08901-1962. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Enlow, Tracey can be contacted via phone (732) 235-7827.

Contact Information

Primary practice address
125 Paterson St New Brunswick NJ 08901-1962
Phone: (732) 235-7827
Fax: (732) 235-6131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA08192300 New Jersey

Profile Details

NPI number 1780884858
LBN Legal business name Enlow, Tracey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2007
Last updated Mar 12th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780884858 NPPES
New Jersey MEDICAID 0168025

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