Individual provider · Type 1 NPI
Tracey H. Fan, D.O
Neurology Physician · Boston, MA
NPI number
1174055784
Active
Practice location
55 Fruit St # 721J
Boston, MA 02114-2696
Mailing address
20 Englewood Ave Apt 104
Brookline, MA 02445-2072
Other practice locations
- 500 E Market St, Iowa City, IA 52245-2633 · (319) 339-3551
- 9500 Euclid Ave, Cleveland, OH 44195-0001 · (216) 444-2200
- 228 Saint Charles Way Ste 200, York, PA 17402-4661 · (717) 851-5503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician | 2084N0400X | DO-06915 (IA) |
| Neurology Physician | 2084N0400X | OS024561C (PA) |
| Neurology Physician Primary | 2084N0400X | 287765 (MA) |
Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Other neurology physician providers in Boston
- Sanjay Menon, MDNeurology Physician Boston, MA NPI 1003258732
- Lena Gao Liu, MDNeurology Physician Boston, MA NPI 1003376039
- Jeffrey M. Ellenbogen, MDNeurology Physician Boston, MA NPI 1003856535
- Kathryn J. Swoboda, MDNeurology Physician Boston, MA NPI 1003906637
- Yoon Cho, MDNeurology Physician Boston, MA NPI 1013038454
- Anne Buckingham Young, MD PHDNeurology Physician Boston, MA NPI 1013908540
- Viken L. Babikian, MDNeurology Physician Boston, MA NPI 1013979277
- Eric E. Smith, MDNeurology Physician Boston, MA NPI 1013991058
About NPI 1174055784
Tracey H. Fan, D.O's National Provider Identifier is 1174055784, issued on Apr 2, 2017. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Boston, MA. The record was last updated on Nov 19, 2025.