Joseph W Tucker
Pediatrician Clinical Genetics (M.D.)
11 South Road
Farmington
, Connecticut 06032
Joseph W Tucker
Pediatrician Clinical Genetics (M.D.)
11 South Road
Farmington
, Connecticut 06032
(860) 679-1610
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About
Features
Specialties
- Clinical Genetics (M.D.)
- Pediatrician
Languages spoken
- English
Location
First Address
- Joseph W Tucker
- 263 Farmington Ave Provider Enrollment
- Farmington, CT
- Zip : 06030-2212
- Fax : (860) 679-1610
- Phone : (860) 679-7503
Second Address
- Joseph W Tucker
- 11 South Road
- Farmington, CT
- Zip : 06032
- Fax : (860) 679-6465
- Phone : (860) 679-1440
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | 046663 | CT |
| N | 208000000X | Pediatrician | 046663 | CT |
National Provider Identifier
| NPI | 1316137060 |
|---|---|
| Provider Name | Joseph W Tucker |
| First Address | Farmington, CT 06030-2212 |
| Second Address | Farmington, CT 06032 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/07/2007 |
| Last Update Date | 23/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1316137060 | (05) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.