Individual
CATHERINE S TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
49 GOVERNORS AVE, HALLMARK HEALTH MEDICAL ASSOCIATES INC, MEDFORD, MA 02155-3017
(781) 395-6122
(781) 395-2595
Mailing address
49 GOVERNORS AVE, HALLMARK HEALTH MEDICAL ASSOCIATES INC, MEDFORD, MA 02155-3017
(781) 395-6122
(781) 395-2595
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
79390
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3150640
—
MA
Enumeration date
05/13/2006
Last updated
05/02/2012
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