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Contact Information

ALTON G TUCKER, MD
8991 COTSWOLD DRIVE
BURKE, VA22015
 Phone: 703-440-4050
 Fax: 703-440-8246
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ALTON G TUCKER · (Male)

NPI Number 1205861135
Status Active
Credentials MD
Entity Individual
Enumeration date 07/11/2006
Last updated 06/13/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 101029876
  • VA Medicaid 005620643
Hospital affiliation(s) Not Available
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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