Active NPIIndividual provider

Susan M Deluca, MD

Family Medicine in Beverly, Massachusetts

NPI Number1164581856
Practice location
45 Brimbal Ave, Beverly, MA 01915-1933
Fax
978-607-4138
Last updated
October 15, 2026

Susan M Deluca is a Family Medicine based in Beverly, MA. Susan M Deluca practices in Beverly, MA and has the professional credentials of MD. The NPI Number for Susan M Deluca is 1164581856 and holds a License No. 79174 (MA). The current practice location address for Susan M Deluca is 45 Brimbal Ave, Beverly, MA 01915-1933 and can be reached out via phone at 978-973-5470 and via fax at 978-607-4138.

Provider Profile Details

NPI Number
1164581856
Provider Name
Susan M Deluca
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
45 Brimbal Ave, Beverly, MA 01915-1933
Phone Number
978-973-5470
Fax Number
978-607-4138
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
December 8, 2006
Last Update Date
October 15, 2026
Certification Date
October 15, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
45 Brimbal Ave
Beverly, MA 01915-1933
Zip
01915-1933
Phone Number
978-973-5470
Fax Number
978-607-4138
Beverly, MA 01915Get directions →

Provider Business Mailing Address Details

Address
45 Brimbal Ave
Beverly, MA 01915-1933
City
Beverly
State
MA
Zip
01915-1933
Phone Number
978-973-5470
Fax Number
978-607-4138

License Information

License Number
79174
License State
MA
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Susan M Deluca, MD?

The NPI number of Susan M Deluca, MD is 1164581856. It was assigned on December 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Susan M Deluca, MD?

Susan M Deluca, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 79174.

Where does Susan M Deluca, MD practice?

The practice location is 45 Brimbal Ave, Beverly, MA 01915-1933. The office can be reached at 978-973-5470 (phone) or 978-607-4138 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164581856 directly on the NPPES registry website.

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