Individual
KEVIN DELUCCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 W PASSAIC ST, ROCHELLE PARK, NJ 07662-3118
(201) 843-5572
Mailing address
156 E SPRING VALLEY AVE FL 2, MAYWOOD, NJ 07607-2137
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03472200
NJ
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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