Individual
MICHELE P. TUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
503 CRANBURY RD, EAST BRUNSWICK, NJ 08816-3612
(732) 390-8400
Mailing address
503 CRANBURY RD, EAST BRUNSWICK, NJ 08816-3612
(732) 390-8400
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MA069507
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1K9407
HEALTHNET ID
NJ
01
—
2104747
UNITED ID
NJ
01
—
222694202
TAX ID
NJ
01
—
8222070
QUALCARE/GHI NY
NJ
01
—
MA069507
HIP/PHCS NY
NJ
01
—
P2494529
OXFORD ID
NJ
Enumeration date
03/17/2006
Last updated
03/15/2017
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