Walter Deluca, PAC
Physician Assistant, Medical in East Providence, Rhode Island
1962598516- Practice location
- 684 Warren Ave, East Providence, RI 02914-1405
- Phone
- 401-434-0022
- Fax
- 401-434-6111
- Last updated
- September 18, 2018
Walter Deluca is a Physician Assistant, Medical based in East Providence, RI. 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 (MT). The current practice location address for Walter Deluca is 684 Warren Ave, East Providence, RI 02914-1405 and can be reached out via phone at 401-434-0022 and via fax at 401-434-6111.
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
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 4, 2006
- Last Update Date
- September 18, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 684 Warren Ave
East Providence, RI 02914-1405 - City
- East Providence
- State
- Rhode Island
- Zip
- 02914-1405
- Phone Number
- 401-434-0022
- Fax Number
- 401-434-6111
Provider Business Mailing Address Details
- Address
- 684 Warren Ave
East Providence, RI 02914-1405 - City
- East Providence
- State
- RI
- Zip
- 02914-1405
- Phone Number
- 401-434-0022
- Fax Number
- 401-434-6111
License Information
- License Number (1)
- 289
- License State (1)
- MT
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X
- License Number (2)
- PA00002
- License State (2)
- RI
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Medical providers near East Providence, RI
View all Physician Assistant, Medical providers in East Providence →Frequently Asked Questions
What is the NPI number of Walter Deluca, PAC?
The NPI number of Walter Deluca, PAC is 1962598516. It was assigned on October 4, 2006 and is currently active in the NPPES registry.
What is the specialty of Walter Deluca, PAC?
Walter Deluca, PAC is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in MT under license number 289.
Where does Walter Deluca, PAC practice?
The practice location is 684 Warren Ave, East Providence, RI 02914-1405. The office can be reached at 401-434-0022 (phone) or 401-434-6111 (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 1962598516 directly on the NPPES registry website.