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NPI Code Detail

MEDICARE: DR. JOSEPH ANTHONY DELUCCA DPM

MEDICARE:  DR. JOSEPH ANTHONY DELUCCA  DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatristDPM.PD025RLA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3826480248OTHERLARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
203979OTHERLABLUE CROSS

General Provider Information

NPI Number : 1558425033
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH ANTHONY DELUCCA DPM
Provider Business Mailing Address
First Line : 3101 RIDGELAKE DR
Second Line :
City : METAIRIE
State : LA
Zip : 70002-4926
Country : US
Telephone Number : 504-831-2671
Fax Number : 504-831-2646
Provider Business Practice Location Address
First Line : 3101 RIDGELAKE DR
Second Line :
City : METAIRIE
State : LA
Zip : 70002-4926
Country : US
Telephone Number : 504-831-2671
Fax Number : 504-831-2646
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2006
Last Update Date : 10/22/2011

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Directions to “ DR. JOSEPH ANTHONY DELUCCA DPM” Practice Location

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