Provider Demographics
NPI:1720055932
Name:BALBONI, TRACY A (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:TRACY
Middle Name:A
Last Name:BALBONI
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:44 BINNEY ST
Mailing Address - Street 2:DANA-FARBER CANCER INSTITUTE DEPT OF RADIATION ONCOLOGY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6013
Mailing Address - Country:US
Mailing Address - Phone:617-632-3591
Mailing Address - Fax:617-632-4247
Practice Address - Street 1:44 BINNEY ST
Practice Address - Street 2:DANA-FARBER CANCER INSTITUTE DEPT OF RADIATION ONCOLOGY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6013
Practice Address - Country:US
Practice Address - Phone:617-632-3591
Practice Address - Fax:617-632-4247
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2007-08-13
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Provider Licenses
StateLicense IDTaxonomies
MA2222422085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology