Tracey, Gregory J

Tracey, Gregory J is an individual health care provider with primary practice located at 79 Hudson St Ste 500 , Hoboken NJ 07030-5642. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tracey, Gregory J can be contacted via phone (201) 653-7450.

Contact Information

Primary practice address
79 Hudson St Ste 500 Hoboken NJ 07030-5642
Phone: (201) 653-7450
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA06653300 New Jersey

Profile Details

NPI number 1821017617
LBN Legal business name Tracey, Gregory J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Sep 23rd, 2014 - about 10 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 1821017617 NPPES
New Jersey MEDICAID 7489609

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