Individual
CHAD TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-9595
Mailing address
22 S GREENE ST, BALTIMORE, MD 21201-1590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AC003203
MD
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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