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Contact Information

HEIDI M TUCKER, DO
202 POMFRET ST
PUTNAM, CT06260
 Phone: 860-963-7917
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for HEIDI M TUCKER · (Female)

NPI # 1871905018
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/22/2014
Last updated 07/09/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 63797
  • MA License # 271687
Hospital affiliation(s)
  • DAY KIMBALL HOSPITAL - (Acute Care)
    320 POMFRET STREET
    PUTNAM, CT 06260
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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