Individual
CHARLES A TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1250 S CEDAR CREST BLVD, SUITE 310, ALLENTOWN, PA 18103-6224
(610) 402-6890
(610) 402-6892
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA002218L
PA
Other
Enumeration date
05/16/2006
Last updated
12/23/2015
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