Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY GORDON TUCKER, M.D.
Active Sole ProprietorNeuromuscular Medicine · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1467733352
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 6, 2011 (14.622680876661 yrs)
- Last Updated
- Oct 16, 2015
- Licenses
-
MD454327 (PA)MD454327 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3737 MARKET ST FL 6PHILADELPHIA, PA, 191045545Browse PA providers · Browse ZIP 19104
- Phone
- 2152949150
- Primary Specialty
-
Neuromuscular Medicine
2081N0008X
- Additional Specialty
- Neuromuscular Medicine
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.