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Contact Information

TRACY S DENTREMONT, MD
3400 CIVIC CENTER BOULEVARD
PHILADELPHIA, PA19104
 Phone: 215-615-5858
 Fax: 215-349-8144
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for TRACY S DENTREMONT · (Female)

NPI Number 1023036704
Status Active
Credentials MD
Entity Individual
Enumeration date 07/18/2006
Last updated 03/14/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD069638L
Hospital affiliation(s)
  • CHESTER COUNTY HOSPITAL - (Acute Care)
    701 EAST MARSHALL STREET
    WEST CHESTER, PA 19380
  • HOSPITAL OF UNIV OF PENNSYLVANIA - (Acute Care)
    34TH & SPRUCE STS
    PHILADELPHIA, PA 19104
  • MAIN LINE HOSPITAL BRYN MAWR CAMPUS - (Acute Care)
    130 SOUTH BRYN MAWR AVE
    BRYN MAWR, PA 19010
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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