Individual
ELIZABETH TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 N WOLFE ST STE 240, BALTIMORE, MD 21287-0005
(410) 614-3891
(443) 267-0188
Mailing address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 614-3891
(443) 267-0188
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C03932
MD
Other
Enumeration date
10/29/2008
Last updated
09/25/2018
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