Individual
DR. WAYNE I TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O, P.A.
Contact information
Practice address
101 BECKS WOODS DR, SUITE 100, BEAR, DE 19701-3854
(302) 838-1100
(302) 838-8962
Mailing address
101 BECKS WOODS DR, SUITE 100, BEAR, DE 19701-3854
(302) 838-1100
(302) 838-8962
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C20004133
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510410516
TAX ID
DE
Enumeration date
10/12/2006
Last updated
04/16/2014
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