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Individual

DR. JAMELAH D TUCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
800 WASHINGTON ST #286, FLOATING HOSPITAL FOR CHILDREN AT TUFTS MEDICAL CENTER, BOSTON, MA 02111
(978) 788-7230
Mailing address
1835 E HALLANDALE BEACH BLVD # 327, HALLANDALE BEACH, FL 33009-4619
(786) 530-7952

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
249948
MA
208000000X
Pediatrics Physician
6712
AK
208000000X
Pediatrics Physician
D66354
MD
208000000X
Pediatrics Physician
ME 107469
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
412724200
MD
Enumeration date
07/05/2007
Last updated
07/21/2022
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