DOUGLAS BERKLEY TUCKER MD

LORETTO REST REALTY CORPORATION

Dr DOUGLAS BERKLEY TUCKER MD is a male medical professional, specializing in Internal Medicine. He graduated in 1984 from University Of Wisconsin Medical School.

Contact

LORETTO REST REALTY CORPORATION

115 CREEK CIR
EAST SYRACUSE
NY
130571369

Tel: 3154133205

DOUGLAS BERKLEY TUCKER MD Information

Npi 1588093843
Pac Id 7315937778
Professional Enrollment Id I20040517000883
Last Name TUCKER
First Name DOUGLAS
Middle Name BERKLEY
Suffix
Gender M
Credential MD
Medical School Name UNIVERSITY OF WISCONSIN MEDICAL SCHOOL
Graduation Year 1984
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LORETTO REST REALTY CORPORATION
Group Practice Pac Id 3678560703
Number Of Group Practice Members 4
Line 1 Street Address 115 CREEK CIR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City EAST SYRACUSE
State NY
Zip Code 130571369
Phone Number 3154133205
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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