Individual
DR. ERIC J DELAURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1050 GALLOPING HILL RD STE 102, UNION, NJ 07083-7980
(908) 686-1350
(908) 686-1382
Mailing address
40 VALLEY STREAM PKWY STE 100, ATTN: CREDENTIALING DEPT., MALVERN, PA 19355-1407
(610) 644-8900
(610) 644-8909
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
232519
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
25MB07747200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0167215
—
NJ
Enumeration date
07/21/2006
Last updated
07/18/2023
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