Individual
DR. DANIEL MORENO DE LUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.SC.
Contact information
Practice address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915
(401) 432-1000
(401) 432-1500
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD16266
RI
Other
Enumeration date
04/01/2012
Last updated
06/12/2018
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