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NPI Profile for WALTER DELUCA in EAST PROVIDENCE, RI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI Number | 1962598516 |
|
| Status | Active | |
| Credentials | PAC | |
| Entity | Individual | |
| Enumeration date | 10/04/2006 | |
| Last updated | 09/18/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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WALTER DELUCA
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WALTER DELUCA, PAC