Individual
MARK A TULECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HAMPTON RD, UNIT 208, EXETER, NH 03833-4849
(603) 778-8522
(603) 778-1602
Mailing address
PO BOX 100519, ATLANTA, GA 30384-0519
(888) 208-6228
(603) 778-1602
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
11886
NH
207ZC0500X
Cytopathology Physician
155848
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
11886
NH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
155848
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y004638NH01
BCBS NH
NH
05
—
133442
—
MA
05
—
30203467
—
NH
01
—
J23428
BCBS MA
MA
Enumeration date
05/23/2005
Last updated
06/02/2008
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