Anthony Joseph De Luca, M.D.
Individual provider Active NPI Pediatrics Physician · Barrington, RI
NPI 1003940156 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003940156
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 8086 (RI)
- Practice address
- 310 Maple Ave
Suite L 05-a
Barrington, RI 02806-3430 - Phone
- (401) 245-5777
- Fax
- (401) 245-7121
- NPI assigned
- Mar 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8086 | RI | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 8086 | RI | Yes |
Addresses
Primary practice location
310 Maple Ave
Suite L 05-a
Barrington, RI 02806-3430
Mailing address
210 Arboretum LN
Bristol, RI 02809-1593
Phone (401) 253-4583
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AD 00178 | Medicaid | RI |
Other providers in Barrington, RI
- Melissa Lapine Curran
- Lisa A Daft
- Kristin Barrett Dalbec
- Melanie Lynn Davis
- Dawn Perry LLC
- Pedro M Dealmeida
- Deborah C Deangelis
- Ashley Marie Debont
- Kathryn Delgreco
- Jeffrey Delricci Jr.
All providers in Barrington, RI · Pediatrics Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.