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NPI Code Detail

MEDICARE: JAMES N TUCKER MD

MEDICARE: JAMES N TUCKER 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
1208000000XPediatrics PhysicianMD022723EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649273822
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES N TUCKER MD
Provider Business Mailing Address
First Line : 11279 PERRY HWY
Second Line : STE 450
City : WEXFORD
State : PA
Zip : 15090-9303
Country : US
Telephone Number : 724-933-1100
Fax Number : 724-933-1160
Provider Business Practice Location Address
First Line : 604 EPSILON DR
Second Line :
City : PITTSBURGH
State : PA
Zip : 15238-2808
Country : US
Telephone Number : 412-967-9090
Fax Number : 412-967-0186
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 12/05/2018

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Directions to “ JAMES N TUCKER MD” Practice Location

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