Wayne Tucker Do, Pa in Bear - Family Medicine

Wayne Tucker Do, Pa - NPI 1770601874

Wayne Tucker Do, Pa is a Family Medicine in Bear, Delaware. Wayne Tucker Do, Pa practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Wayne Tucker Do, Pa is 1770601874. The last update date is 2014-04-16.

Wayne Tucker Do, Pa's current location address is 101 Becks Woods Dr, Bear, Delaware. You can contact this provider via phone number 3028381100 and fax number 3028388962. The mailing address for Wayne Tucker Do, Pa is 101 Becks Woods Dr, Bear, Delaware. To know further, please read the information below!

Provider Profile Detail

Provider Organization Wayne Tucker Do, Pa
Address 101 Becks Woods Dr, Bear, Delaware
Phone Number 3028381100
Fax Number 3028388962
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Tucker Ira Wayne
Credentials DO, PA
Telephone Number 3028381100

NPI Number Detail

NPI Number 1770601874
Provider Enumeration Date 2007-03-27
Last Updated Date 2014-04-16

Provider Mailing Address Detail

Address 101 Becks Woods Dr
City Bear
State Delaware (DE)
Post Code 19701
Phone Number 3028381100
Fax Number 3028388962

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No C2004133
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1131503 DE --
100579 DE UNITED HEALTHCARE
1770601874 DE BCBS
116893 DE COVENTRY
4331251 DE AETNA

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FAQs about Wayne Tucker Do, Pa

What is the unique identification code assigned to Wayne Tucker Do, Pa by the Centers for Medicare & Medicaid Services?

The Wayne Tucker Do, Pa has been issued the NPI (National Provider Identifier) 1770601874. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Wayne Tucker Do, Pa's facilities are geographically located?

The facilities of Wayne Tucker Do, Pa are physically situated at the following location: 101 Becks Woods Dr, Bear, DE, 19701.

What is the Wayne Tucker Do, Pa's specialty and taxonomy code?

The Wayne Tucker Do, Pa's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

On what date did the Wayne Tucker Do, Pa receive the assignment of its 1770601874 from the Centers for Medicare & Medicaid Services?

The Wayne Tucker Do, Pa was issued its 1770601874 by the Centers for Medicare & Medicaid Services on 2007-03-27.

As of what date were the details related to Wayne Tucker Do, Pa most recently updated or revised?

The information pertaining to Wayne Tucker Do, Pa, including its address, specialty, and other relevant details, was last updated or revised on 2014-04-16.

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