Individual
PETER FRANCIS DELUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
925 CHESTNUT ST, FL 5, ROTHMAN INSTITUTE, PHILADELPHIA, PA 19107-4216
(267) 339-3500
(215) 503-0580
Mailing address
833 CHESTNUT ST, SUITE 1402, PHILADELPHIA, PA 19107-4414
(800) 321-9999
(267) 339-3761
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25MA05859400
NJ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
25MA05859400
NJ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD039877E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040288200
IBC
PA
01
—
0400517000
IBC
NJ
01
—
3954367
AETNA
NJ
01
—
3955222
AETNA
PA
01
—
6197745
CIGNA
—
Enumeration date
05/31/2006
Last updated
04/26/2024
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