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Individual
MARK A TULECKE
Active
Individual
MARK A TULECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
11886
NH
207ZC0500X
Cytopathology Physician
155848
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
11886
NH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
155848
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y004638NH01
BCBS NH
NH
05
—
133442
—
MA
05
—
30203467
—
NH
01
—
J23428
BCBS MA
MA
Enumeration date
05/23/2005
Last updated
06/02/2008
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