Provider Demographics
NPI:1649340845
Name:ALDERSON, TRACY M (MD)
Entity type:Individual
Prefix:DR
First Name:TRACY
Middle Name:M
Last Name:ALDERSON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:620 JOHN PAUL JONES CIRCLE
Mailing Address - Street 2:NAVAL MEDICAL CENTER PORTSMOUTH
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23708
Mailing Address - Country:US
Mailing Address - Phone:757-953-4077
Mailing Address - Fax:601-510-9209
Practice Address - Street 1:620 JOHN PAUL JONES CIRCLE
Practice Address - Street 2:NAVAL MEDICAL CENTER PORTSMOUTH
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23708
Practice Address - Country:US
Practice Address - Phone:757-953-4077
Practice Address - Fax:601-510-9209
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2014-04-09
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Provider Licenses
StateLicense IDTaxonomies
GA0534832080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology