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Contact Information

JEREMY TUCKER
25500 POINT LOOKOUT ROAD
LEONARDTOWN, MD20650
 Phone: 301-279-6550
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JEREMY TUCKER · (Male)

NPI Number 1134153620
Status Active
Credentials
Entity Individual
Enumeration date 07/10/2006
Last updated 05/01/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • HI License # DOS-2147
  • MD License # H63519
Hospital affiliation(s)
  • HILO MEDICAL CENTER - (Acute Care)
    1190 WAIANUENUE AVENUE
    HILO, HI 96720
  • KONA COMMUNITY HOSPITAL - (Acute Care)
    79-1019 HAUKAPILA STREET
    KEALAKEKUA, HI 96750
  • NORTH HAWAII COMMUNITY HOSPITAL - (Acute Care)
    67 1125 MAMALAHOA HIGHWAY
    KAMUELA, HI 96743
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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