Individual
DR. JEFFREY ROBERT LADUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D, MD
Contact information
Practice address
144 STANDART AVE, AUBURN, NY 13021-1508
(315) 255-1100
(315) 255-1322
Mailing address
144 STANDART AVE, AUBURN, NY 13021-1508
(315) 255-1100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
214949-1
NY
207N00000X
Dermatology Physician
Primary
214949
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02309960
—
NY
Enumeration date
03/28/2006
Last updated
04/12/2024
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