Organization
GARY TUCKMAN PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY TUCKMAN PHD (PRESIDENT)
(201) 836-8648
Entity
Organization
Contact information
Practice address
830 GARRISON AVENUE, TEANECK, NJ 07666-2542
(201) 836-8648
(201) 836-3218
Mailing address
830 GARRISON AVENUE, TEANECK, NJ 07666-2542
(201) 836-8648
(201) 836-3218
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35S100112100
NJ
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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