Individual
DR. MARTA D. ILLUECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1800 CONCORD PIKE, D3C-421, WILMINGTON, DE 19850-5437
(302) 885-1487
Mailing address
1800 CONCORD PIKE, D3C-421 - P.O.BOX 15437, WILMINGTON, DE 19850-5437
(302) 885-1487
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C10007913
DE
2080P0206X
Pediatric Gastroenterology Physician
C10007913
DE
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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