DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WALTER DELUCA, PAC

Active

WALTER DELUCA, PAC is a Medical Physician Assistant healthcare provider located in EAST PROVIDENCE, Rhode Island. NPI 1962598516 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · EAST PROVIDENCE, RI

Registration Details

NPI Number
1962598516
Provider Type
Individual
Gender
Male
NPI Issued
Oct 4, 2006 (19.81918005289 yrs)
Last Updated
Sep 18, 2018
Licenses
289 (MT)
PA00002 (RI)

Practice Information

Address
684 WARREN AVE
EAST PROVIDENCE, RI, 029141405
Browse RI providers · Browse ZIP 02914
Phone
4014340022
Fax
4014346111
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in EAST PROVIDENCE, RI

Name Credential NPI
MR. ANGELO CARPETHOS PA 1518056795
KAILEY L. WELLS PA-C 1184066110
MICHAEL ANTOINE PA-C 1801363809
MEREDITH ROSE CAVANAGH PA-C 1720651094
TAYLOR LYNN REALL PA-C 1104560788
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.