Most Relevant Information
Provider Data
| NPI Number: | 1003551102 |
| Provider Name: | TRACY RAU MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/03/2022 |
| Last Updated: | 05/03/2022 |
Provider Practice Location
1650 GRAND CONCOURSE
BRONX
NY
104577606
Practice Location Phone/Fax
| Phone: | 7185901800 |
| Fax: |
Provider Mailing Location
990 MCLYNN AVE NE
ATLANTA
GA
303063345
Provider Mailing Phone/Fax
| Phone: | 4049833165 |
| Fax: |