Smith-Dipalo, Tracy

Smith-Dipalo, Tracy is an individual health care provider with primary practice located at 28 Jackson Ave , Pompton Plains NJ 07444-1453. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Smith-Dipalo, Tracy can be contacted via phone (973) 835-2575.

Contact Information

Primary practice address
28 Jackson Ave Pompton Plains NJ 07444-1453
Fax: (973) 835-0531
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 48219 New Jersey

Profile Details

NPI number 1851371835
LBN Legal business name Smith-Dipalo, Tracy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Sep 11th, 2007 - about 18 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 1851371835 NPPES
New Jersey MEDICAID 7726805

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