Individual
BRADLEY GORDON TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3737 MARKET ST FL 6, PHILADELPHIA, PA 19104-5545
(215) 294-9150
Mailing address
3737 MARKET ST FL 6, PHILADELPHIA, PA 19104-5545
(215) 294-9150
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
MD454327
PA
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD454327
PA
Other
Enumeration date
09/06/2011
Last updated
10/16/2015
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