Tucker, Susan Mary

Tucker, Susan Mary is an individual health care provider with primary practice located at 1 Essex Center Dr Lahey Clinic, Peabody MA 01960-2901. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is her primary health care specialty. Tucker, Susan Mary can be contacted via phone (978) 538-4400.

Contact Information

Primary practice address
1 Essex Center Dr Lahey Clinic Peabody MA 01960-2901
Phone: (978) 538-4400
Fax: (978) 538-4724
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 156646 Massachusetts
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X 156646 Massachusetts

Profile Details

NPI number 1578664462
LBN Legal business name Tucker, Susan Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated May 4th, 2016 - about 9 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 1578664462 NPPES
Massachusetts MEDICAID 110059835A

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