Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 83 | NC |
Y | 222Z00000X | Podiatrist | 83 | NC |
NPI | 1033214762 |
---|---|
Provider Name | Dr. Richard Charles Tuchman |
First Address | Greensboro, NC 27405-3670 |
Second Address | Greensboro, NC 27405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 09/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
08180 | BCBS (01) | NC |
37985 | MEDCOST (01) | NC |
8908180 | (05) | NC |
T64008 | (02) |