Alexander Macom Tucker, MD | |
3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | |
(155) 902-7802 | |
Not Available |
Full Name | Alexander Macom Tucker |
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Gender | Male |
Speciality | Neurological Surgery |
Location | 3401 Civic Center Blvd, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1760740450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207T00000X | Neurological Surgery | MD467385 (Pennsylvania) | Primary |
207T00000X | Neurological Surgery | A129849 (California) | Secondary |
Entity Name | Children's Surgical Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326117185 PECOS PAC ID: 9739083494 Enrollment ID: O20040209000124 |
Entity Name | University Of Penn-medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091 |
Mailing Address | Practice Location Address |
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Alexander Macom Tucker, MD 34 Dartmouth St, Apt 1, Boston, MA 02116-5927 Ph: (617) 513-0034 | Alexander Macom Tucker, MD 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 Ph: (155) 902-7802 |
Dr. Ahmet Fatih Atik, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Cotton St, Philadelphia, PA 19127 Phone: 215-892-7600 | |
Dr. Srinivasa Prasad Venkata Kanuparthi, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-7200 Fax: 215-707-3831 | |
John Y Lee, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, 3 Silverstein Bldg, Philadelphia, PA 19104 Phone: 215-662-3487 | |
Dr. Nduka Mgbechinyere Amankulor, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Civic Center Blvd, 2nd Flr South Pavilion, Philadelphia, PA 19104 Phone: 215-662-3487 Fax: 215-349-5534 | |
Kareem Amir Zaghloul, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce St, 1 Maloney Building, Philadelphia, PA 19104 Phone: 215-662-3957 | |
Dr. Bong-soo Kim, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3509 N Broad St, Philadelphia, PA 19140 Phone: 215-707-7200 Fax: 215-707-3831 | |
Dr. Sami Milan Pathak, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 3401 N Broad St Ste C540, Philadelphia, PA 19140 Phone: 215-707-7200 Fax: 215-707-3831 |