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Individual
BRADLEY GORDON TUCKER
Active
Individual
BRADLEY GORDON TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
MD454327
PA
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD454327
PA
Other
Enumeration date
09/06/2011
Last updated
10/16/2015
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