Susan Mary Tucker in Peabody - Ophthalmic Plastic And Reconstructive Surgery
Susan Mary Tucker - NPI 1578664462
Susan Mary Tucker is a Ophthalmic Plastic And Reconstructive Surgery in Peabody, Massachusetts. Susan Mary Tucker practices all healthcare services and medical treatments related to Ophthalmic Plastic And Reconstructive Surgery. The NPI Number for Susan Mary Tucker is 1578664462. The last update date is 2016-05-04.
Susan Mary Tucker's current location address is 1 Essex Center Drive, Peabody, Massachusetts. You can contact this provider via phone number 9785384400 and fax number 9785384724. The mailing address for Susan Mary Tucker is 1 Essex Center Drive, Peabody, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Susan Mary Tucker |
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Address | 1 Essex Center Drive, Peabody, Massachusetts |
Phone Number | 9785384400 |
Fax Number | 9785384724 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1578664462 |
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Provider Enumeration Date | 2006-09-26 |
Last Updated Date | 2016-05-04 |
Provider Mailing Address Detail
Address | 1 Essex Center Drive |
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City | Peabody |
State | Massachusetts (MA) |
Post Code | 19602901 |
Phone Number | 9785384400 |
Fax Number | 9785384724 |
Provider's Primary Taxonomy Detail
Speciality | Ophthalmic Plastic And Reconstructive Surgery |
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Taxonomy | 207Wx0200X |
Licence No | 156646 |
Definition: A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and la |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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110059835A | MA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Susan Mary Tucker?
The Susan Mary Tucker has been issued the NPI (National Provider Identifier) 1578664462 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Susan Mary Tucker's facilities are situated?
The facilities of Susan Mary Tucker are physically located at the following address: 1 Essex Center Drive, Peabody, MA, 19602901.
What is Susan Mary Tucker's area of expertise and its corresponding taxonomy classification?
The Susan Mary Tucker's field of specialization is Ophthalmic Plastic And Reconstructive Surgery, and it falls under the taxonomy code 207Wx0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Susan Mary Tucker receive the assignment of its 1578664462 from the Centers for Medicare & Medicaid Services?
The Susan Mary Tucker was issued its 1578664462 by the Centers for Medicare & Medicaid Services on 2006-09-26.
When was the information related to Susan Mary Tucker most recently updated or refreshed?
The details pertaining to the Susan Mary Tucker, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-05-04.