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NPI Code Detail

MEDICARE: STEVEN L. TUCK MD

MEDICARE: STEVEN L. TUCK MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistD0025078MD
2207X00000XOrthopaedic Surgery PhysicianD0025078MD
3207XS0106XOrthopaedic Hand Surgery PhysicianD0025078MD
4207XP3100XPediatric Orthopaedic Surgery PhysicianD0025078MD

General Provider Information

NPI Number : 1124062104
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN L. TUCK MD
Provider Business Mailing Address
First Line : 7614 MARYKNOLL AVE
Second Line :
City : BETHESDA
State : MD
Zip : 20817-4854
Country : US
Telephone Number : 301-229-4755
Fax Number :
Provider Business Practice Location Address
First Line : 9601 BLACKWELL RD STE 100
Second Line : SHADY GROVE ORTHOPAEDICS
City : ROCKVILLE
State : MD
Zip : 20850-6477
Country : US
Telephone Number : 301-340-9200
Fax Number : 301-340-6934
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 11/09/2023

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