Individual
GEORGE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
218A SUNSET RD, WILLINGBORO, NJ 08046-1110
(609) 835-2901
Mailing address
218A SUNSET RD, WILLINGBORO, NJ 08046-1110
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00834800
NJ
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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