Individual
DR. MICHAEL ANTHONY DE LUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
683 NECK RD, TIVERTON, RI 02878-4011
(401) 624-1858
(401) 624-9993
Mailing address
683 NECK RD, TIVERTON, RI 02878-4011
(401) 624-1858
(401) 624-9993
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD04159
RI
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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