Tucker, Joseph W
Tucker, Joseph W is an individual health care provider with primary practice located at 11 South Rd , Farmington CT 06032-2483. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is his primary health care specialty. Tucker, Joseph W can be contacted via phone (860) 679-1440.Contact Information
Primary practice address
11 South Rd
Farmington CT 06032-2483
Phone: (860) 679-1440
Fax: (860) 679-6465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 046663 | Connecticut |
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | 046663 | Connecticut |
Profile Details
| NPI number | 1316137060 |
|---|---|
| LBN Legal business name | Tucker, Joseph W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2007 |
| Last updated | Sep 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316137060 | NPPES |
| Connecticut | MEDICAID | 1316137060 |
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