Prematta, Tracy R

Prematta, Tracy R is an individual health care provider with primary practice located at 400 W Township Line Rd , Havertown PA 19083-5210. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Prematta, Tracy R can be contacted via phone (610) 789-1313.

Contact Information

Primary practice address
400 W Township Line Rd Havertown PA 19083-5210
Fax: (610) 789-0655
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X MD434590 Pennsylvania

Profile Details

NPI number 1659494888
LBN Legal business name Prematta, Tracy R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Jul 21st, 2022 - about 2 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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