# DR. DANIEL JAY TUCKER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1396744959
- **Gender:** Man
- **Credential:** DPM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 00000833 | TN | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 25MD00242700 | NJ | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E4705 | CA | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | N005485 | NY | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | POD001177 | GA | — |

## Other

- **Enumeration date:** 07/18/2005
- **Last updated:** 07/02/2025