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Individual
LUCIANO E DE MARCO
Active
Individual
LUCIANO E DE MARCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
145754
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0068360
GHI
NY
01
—
110014726
PALMETTO GBA
GA
01
—
30D101
MEDICARE ID- TYPE UNSPECIFIED
NY
01
—
3C0527
HEALTH NET
NY
01
—
LD030D1010
EMPIRE BLUE CROSS BLUE SHIELD
NY
01
—
WP754
OXFORD
NY
Enumeration date
02/16/2007
Last updated
06/18/2008
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