Tucker, Alexander Macom

Tucker, Alexander Macom is an individual health care provider with primary practice located at 3401 Civic Center Blvd , Philadelphia PA 19104-4319. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Tucker, Alexander Macom can be contacted via phone (155) 902-7802.

Contact Information

Primary practice address
3401 Civic Center Blvd Philadelphia PA 19104-4319
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD467385 Pennsylvania
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X A129849 California

Profile Details

NPI number 1760740450
LBN Legal business name Tucker, Alexander Macom
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2012
Last updated Jun 26th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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