Tucker, Jamelah D

Tucker, Jamelah D is an sole proprietor health care provider with primary practice located at 800 Washington St #286 Floating Hospital For Children At Tufts Medical Center, Boston MA 02111. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tucker, Jamelah D can be contacted via phone (978) 788-7230.

Contact Information

Primary practice address
800 Washington St #286 Floating Hospital For Children At Tufts Medical Center Boston MA 02111
Phone: (978) 788-7230
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D66354 Maryland
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 249948 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME 107469 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 6712 Alaska

Profile Details

NPI number 1073711768
LBN Legal business name Tucker, Jamelah D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2007
Last updated Jul 21st, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073711768 NPPES
Maryland MEDICAID 412724200

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