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Edward Sporl Tucker, MD
Neurology Physician in Essex, Connecticut
NPI 1275648552

Edward Sporl Tucker is a Neurology Physician based in Essex, CT and is specialized in Neurology. Edward Sporl Tucker practices in Essex, CT and has the professional credentials of MD. The NPI Number for Edward Sporl Tucker is 1275648552 and holds a License No. 013972 (Connecticut).

The current practice location address for Edward Sporl Tucker is 67 N Main St, Essex, CT and can be reached out via phone at 860-767-1411 and via fax at 860-767-1233.

Location: 67 N Main St, Essex, CT, 06426-1074
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275648552
Provider Name
Edward Sporl Tucker
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
67 N Main St, Essex, CT, 06426-1074
Phone Number
860-767-1411
Fax Number
860-767-1233
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
058532 01 CT CONNECTICARE
0V0648 01 CT HEALTH NET
010013972CT01 01 CT ANTHEM BLUE CROSS
P2492859 01 CT OXFORD
507435 01 CT AETNA
CIGNA 01 CT CIGNA
institution
Provider Business Practice Location Address Details
Address
67 N Main St
City
Essex
State
Connecticut
Zip
06426-1074
Phone Number
860-767-1411
Fax Number
860-767-1233
person
Provider Business Mailing Address Details
Address
67 N Main St
City
Essex
State
Connecticut
Zip
06426-1074
Phone Number
860-767-1411
Fax Number
860-767-1233
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
13972 (Connecticut)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
013972 (Connecticut)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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