Individual
MATTHEW J DELUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 STATE ST, BADEN, PA 15005-1737
(724) 869-1870
(724) 869-8113
Mailing address
400 STATE ST, BADEN, PA 15005-1737
(724) 869-1870
(724) 869-8113
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG 001100
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012700740004
—
PA
Enumeration date
10/20/2005
Last updated
06/03/2021
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