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1609828276
CHARLES A TUCKER
ALLENTOWN, PA
NPI
1609828276
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA002218L)
Enumeration Date
2006-05-16
Last Update Date
2015-12-23
Business Address
-- CHARLES A TUCKER PA
1250 S CEDAR CREST BLVD SUITE 310
ALLENTOWN, PA 18103-6224
Phone number: 610-402-6890
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Mailing Address
-- CHARLES A TUCKER PA
PO BOX 783311
PHILADELPHIA, PA 19178-3311
Phone number:
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