Individual provider · Type 1 NPI

Walter Deluca, PAC

Medical Physician Assistant · East Providence, RI

NPI number 1962598516 Active

Practice location

684 Warren Ave
East Providence, RI 02914-1405

Fax (401) 434-6111

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X289 (MT)
Medical Physician Assistant Primary 363AM0700XPA00002 (RI)

Medical Physician Assistant: Definition to come...

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About NPI 1962598516

Walter Deluca, PAC's National Provider Identifier is 1962598516, issued on Oct 4, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in East Providence, RI. The record was last updated on Sep 18, 2018.