Individual
MR. EDWARD JOSEPH TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
385 TREMONT AVE, EAST ORANGE, NJ 07018-1023
(973) 676-1000
Mailing address
659 CAMBRIDGE RD, PARAMUS, NJ 07652-4203
(201) 599-1049
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SC00073400
NJ
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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