Organization
JOSEPH A. DELUCA, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATALIE MARIA TAVARES (OFFICE MANAGER)
(201) 896-0096
Entity
Organization
Contact information
Practice address
20 PARK AVE, SUITE 1A, LYNDHURST, NJ 07071-1012
(201) 896-0096
(201) 896-0062
Mailing address
20 PARK AVE, SUITE 1A, LYNDHURST, NJ 07071-1012
(201) 896-0096
(201) 896-0062
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0840301
—
NJ
Enumeration date
01/29/2008
Last updated
01/29/2008
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