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Walter Deluca, PAC
Medical Physician Assistant in East Providence, Rhode Island
NPI 1962598516

Walter Deluca is a Medical Physician Assistant based in East Providence, RI and is specialized in Medical. Walter Deluca practices in East Providence, RI and has the professional credentials of PAC. The NPI Number for Walter Deluca is 1962598516 and holds a License No. 289 (Rhode Island).

The current practice location address for Walter Deluca is 684 Warren Ave, East Providence, RI and can be reached out via phone at 401-434-0022 and via fax at 401-434-6111. You can also correspond with Walter Deluca through the mailing address at 684 WARREN AVE, EAST PROVIDENCE, RI - 02914-1405 (mailing address contact number: 401-434-0022).

Location: 684 Warren Ave, East Providence, RI, 02914-1405
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Provider Profile Details
NPI Number
1962598516
Provider Name
Walter Deluca
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
684 Warren Ave, East Providence, RI, 02914-1405
Phone Number
401-434-0022
Fax Number
401-434-6111
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7005920 05 RI
289 01 MT STATE LIC NUMBER
000096303 01 MT BLUE CROSS NUMBER
979006386 01 RI MEDICARE PTAN
0438260 05 MT
institution
Provider Business Practice Location Address Details
Address
684 Warren Ave
City
State
Zip
02914-1405
Phone Number
401-434-0022
Fax Number
401-434-6111
person
Provider Business Mailing Address Details
Address
684 Warren Ave
City
State
Zip
02914-1405
Phone Number
401-434-0022
Fax Number
401-434-6111
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
289 (Montana)
Definition
Definition to come...
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