Healthcare Provider Details

I. General information

NPI: 1033214762
Provider Name (Legal Business Name): RICHARD CHARLES TUCHMAN DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 07/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2706 ST JUDE ST THE TRIAD FOOT CENTER PA
GREENSBORO NC
27405
US

IV. Provider business mailing address

2706 SAINT JUDE ST THE TRIAD FOOT CENTER PA
GREENSBORO NC
27405-3670
US

V. Phone/Fax

Practice location:
  • Phone: 336-375-6990
  • Fax: 336-375-0361
Mailing address:
  • Phone: 336-375-6990
  • Fax: 336-375-0361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number83
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: