Individual
ALEXANDER MACOM TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(155) 902-7802
Mailing address
34 DARTMOUTH ST, APT 1, BOSTON, MA 02116-5927
(617) 513-0034
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
A129849
CA
207T00000X
Neurological Surgery Physician
Primary
MD467385
PA
Other
Enumeration date
05/01/2012
Last updated
06/26/2019
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