Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACEY H FAN, D.O
ActiveTRACEY H FAN, D.O is a Neurology healthcare provider located in BOSTON, Massachusetts. NPI 1174055784 is currently active in the NPPES registry. Verify at CMS.
Neurology · BOSTON, MA
Registration Details
- NPI Number
- 1174055784
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 2, 2017 (9.3479182600108 yrs)
- Last Updated
- Nov 19, 2025
- Licenses
-
DO-06915 (IA)OS024561C (PA)287765 (MA)
Practice Information
- Address
-
55 FRUIT ST # 721JBOSTON, MA, 021142696Browse MA providers · Browse ZIP 02114
- Phone
- 6177262000
- Primary Specialty
-
Neurology
2084N0400X
- Additional Specialty
- Neurology
- Additional Specialty
- Neurology
Other Neurology Providers in BOSTON, MA
| Name | Credential | NPI |
|---|---|---|
| PUSHPA NARAYANASWAMI | MD | 1326040197 |
| DR. ROBERT AARON LEVINE | MD | 1154318459 |
| DR. LOUIS ROBERT CAPLAN | MD | 1306833561 |
| DR. CLIFFORD B SAPER | MD | 1629066113 |
| DR. GUY A RORDORF | MD | 1518957422 |
| DR. CENK AYATA | MD | 1326038043 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.