# PETER R. DUCA, JR., DMD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639286115
- **Authorized official:** DR. PETER DUCA (OWNER)
- **Authorized official phone:** (609) 953-7400

## Contact information

- **Practice address:** 520 STOKES RD, BUILDING B-18, MEDFORD, NJ 08055-2904
- **Practice address phone:** (609) 953-7400
- **Practice address fax:** (609) 953-4032
- **Mailing address:** 520 STOKES RD, BUILDING B-18, MEDFORD, NJ 08055-2904
- **Mailing address phone:** (609) 953-7400
- **Mailing address fax:** (609) 953-4032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI01754300 | NJ | Yes |

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 08/22/2020
