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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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 1316137060 NPPES
Connecticut MEDICAID 1316137060

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