Provider Demographics
NPI:1881640787
Name:TUCH, BARRY (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:
Last Name:TUCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9360 N NAME UNO
Mailing Address - Street 2:SUITE 125
Mailing Address - City:GILROY
Mailing Address - State:CA
Mailing Address - Zip Code:95020-3540
Mailing Address - Country:US
Mailing Address - Phone:408-846-9444
Mailing Address - Fax:408-846-9575
Practice Address - Street 1:9360 N NAME UNO
Practice Address - Street 2:SUITE 125
Practice Address - City:GILROY
Practice Address - State:CA
Practice Address - Zip Code:95020-3540
Practice Address - Country:US
Practice Address - Phone:408-846-9444
Practice Address - Fax:408-846-9575
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-25
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG27150207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G-271500Medicaid
CAA91034Medicare UPIN
CA00G-271500Medicare ID - Type Unspecified