Organization
HOWARD J TUCKER MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD J TUCKER MD (PHYSICIAN)
(440) 333-6545
Entity
Organization
Contact information
Practice address
2801 N PARK BLVD, CLEVELAND HEIGHTS, OH 44118-4030
(440) 333-6545
(440) 331-7710
Mailing address
20545 CENTER RIDGE RD, SUITE 116, ROCKY RIVER, OH 44116-3430
(440) 333-6545
(440) 331-7710
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
35015264
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8901906
—
OH
Enumeration date
07/21/2009
Last updated
08/27/2012
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