Robert J Trace Jr Md Pa

  • 1043541147 NPI Number
  • |
  • Actived: 9 years ago
  • |
According to our database, NPI number for Robert J Trace Jr Md Pa is 1043541147 and actived since Friday, January 29 2010. Robert J Trace Jr Md Pa is an Organization provider specializes in Gastroenterology. Provider information was last updated on 01/29/2010.

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Overview of Robert J Trace Jr Md Pa

  • NPI number: 1083161814
  • Provider type: Organization
  • Specialty: Gastroenterology
  • Active since: 01/29/2010
  • Last updated: 01/29/2010

Primary Scrop of Practice

  • Taxonomy Code: 207RG0100X
  • Specialty: Gastroenterology
  • License Number: D22012
  • License State: MD

Provider Mailing Address

  • Address: 121 E Antietam St
    Hagerstown, MD 21740
  • Phone: 301-739-2560
  • Fax: 301-739-0266

Provider Practice Location

  • Address: 121 E Antietam St
    Hagerstown, MD 21740
  • Phone: 301-739-2560
  • Fax: 301-739-0266

Authorized Official

  • Name: DR. Robert John Trace JR. MD
  • Position/Title: Physician/owner
  • Telephone Number: 301-739-2560

Scope of Practice

  • Taxonomy Code: 207RG0100X
  • Specialty: Gastroenterology
  • License Number: D22012
  • License State: MD
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 964111400MD
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MD
  • Issuer:

Question & Answers

What is the npi number?

  • Q: What is the npi number for Robert J Trace Jr Md Pa?
  • A: The npi number for Robert J Trace Jr Md Pa is 1043541147.
  • Q: What are Robert J Trace Jr Md Pa's specialties?
  • A: Robert J Trace Jr Md Pa's specialties are Gastroenterology and different specialities.
  • Q: Where is Robert J Trace Jr Md Pa business practice location?
  • A: Robert J Trace Jr Md Pa business practice location is 121 E Antietam St, Hagerstown, MD 21740.
  • Q: How to contact Robert J Trace Jr Md Pa?
  • A: You can contact Robert J Trace Jr Md Pa via 301-739-2560.
  • Q: What is the authorized official for Robert J Trace Jr Md Pa?
  • A: The authorized office name is DR. Robert John Trace JR. MD with position/title is Physician/owner and you can reach the authorized official via phone number 3017392560.