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Individual

ROBERT DELUCAS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
234 MALL BLVD STE G30, KING OF PRUSSIA, PA 19406-2921
(800) 321-9999
Mailing address
234 MALL BLVD STE G30, KING OF PRUSSIA, PA 19406-2921

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP023140
PA

Other

Enumeration date
07/20/2021
Last updated
07/20/2021
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