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ROBERT J TRACE JR MD PA NPI 1043541147


NPI Information

NPI: 1043541147
Provider Name: ROBERT J TRACE JR MD PA
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
121 E ANTIETAM ST
HAGERSTOWN, MD
ZIP 21740
Phone: (301) 739-2560
Get Directions

ROBERT J TRACE JR MD PA is a gastroenterology internal medicine in Hagerstown, MD. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. ROBERT J TRACE JR MD PA NPI is 1043541147. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

121 E ANTIETAM ST
HAGERSTOWN, MD
ZIP 21740-601
Phone: (301) 739-2560
Fax: (301) 739-0266

The provider's authorized official is Robert John Trace .
The authorized official title is Physician/owner and has the following contact phone number (301) 739-2560.

The enumeration date for this NPI number is 1/29/2010 and was last updated on 1/29/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterologyD22012MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D73872MEDICARE UPINMARYLAND
2964111400MDMEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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