Individual
DR. IAN STERLING TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 PALOMBA DR, ENFIELD, CT 06082-3888
(860) 951-2198
Mailing address
71 W STAFFORD RD # A, STAFFORD SPRINGS, CT 06076-1069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
039732
CT
208M00000X
Hospitalist Physician
39732
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001397323
—
CT
Enumeration date
01/27/2006
Last updated
12/09/2024
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