Individual
TIFFANY TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 S GODDARD BLVD, KING OF PRUSSIA, PA 19406-2922
(610) 337-3232
Mailing address
1138 S DORRANCE ST, PHILADELPHIA, PA 19146-2912
(240) 602-6023
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA09909100
NJ
208000000X
Pediatrics Physician
Primary
MD465363
PA
Other
Enumeration date
05/16/2014
Last updated
11/07/2025
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