Individual
DR. RUSSELL ROBERT DELUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 HOSPITAL DRIVE, GLEN BURNIE, MD 21061
(410) 761-9896
(410) 761-2250
Mailing address
305 HOSPITAL DRIVE, GLEN BURNIE, MD 21061
(410) 761-9896
(410) 761-2250
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
D0031551
MD
207RH0003X
Hematology & Oncology Physician
Primary
D0031551
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210121100
—
MD
05
—
408391100
—
MD
Enumeration date
03/07/2006
Last updated
02/24/2022
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