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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WYATT TUCKER PASCO

Active

WYATT TUCKER PASCO is a Peer Specialist healthcare provider located in CONCORD, Massachusetts. NPI 1194407528 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · CONCORD, MA

Registration Details

NPI Number
1194407528
Provider Type
Individual
Gender
Male
NPI Issued
Aug 4, 2023 (3.0520524414756 yrs)
Last Updated
Aug 4, 2023

Practice Information

Address
76 GIFFORD LN
CONCORD, MA, 017422235
Browse MA providers · Browse ZIP 01742
Phone
6178006697
Primary Specialty
Peer Specialist
175T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.