Individual
MR. PETER JOSEPH TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
815 SIR THOMAS CT STE 200, HARRISBURG, PA 17109-4839
(717) 724-0720
(717) 724-0730
Mailing address
815 SIR THOMAS CT STE 200, HARRISBURG, PA 17109-4839
(717) 724-0720
(717) 724-0730
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD056753L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50000019
CAPITAL BLUE CROSS
PA
01
—
5258768
AETNA
—
Enumeration date
07/29/2005
Last updated
07/19/2021
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