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Individual

DR. TERRI TUCKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
111 S 11TH ST, SUITE 3390, PHILADELPHIA, PA 19107-4824
(215) 955-2900
(215) 923-1562
Mailing address
111 S 11TH ST, SUITE 3390, PHILADELPHIA, PA 19107-4824
(215) 955-2900
(215) 923-1562

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD044094E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001214834
PA
05
6595006
NJ
Enumeration date
07/14/2006
Last updated
03/18/2015
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