Provider Demographics
NPI:1043257744
Name:DE LUCA, ANTHONY C (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:C
Last Name:DE LUCA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:2130 HIGHWAY 35
Mailing Address - Street 2:BLDG C
Mailing Address - City:SEA GIRT
Mailing Address - State:NJ
Mailing Address - Zip Code:08750-1010
Mailing Address - Country:US
Mailing Address - Phone:732-974-1980
Mailing Address - Fax:732-974-2117
Practice Address - Street 1:2130 HIGHWAY 35
Practice Address - Street 2:BLDG C
Practice Address - City:SEA GIRT
Practice Address - State:NJ
Practice Address - Zip Code:08750-1010
Practice Address - Country:US
Practice Address - Phone:732-974-1980
Practice Address - Fax:732-974-2117
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05663900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3552793OtherAETNA HMO SEA GIRT LOCATI
NJ646801OtherFIRST HEALTH
NJ459337OtherAETNA HMO HOWELL LOCATION
NJP00139609OtherRAILROAD MEDICARE
NJ1097281OtherUNITED HEALTHCARE
NJ4320503OtherAETNA PPO SEA GIRT LOCATI
NJ19999047OtherLOCAL 734
NJ2591714OtherGHI
NJMP150OtherOXFORD
NJ0814303OtherCIGNA
NJ1046036OtherHORIZON NJ HEALTH SEAGIRT
NJ4320523OtherAETNA PPO HOWELL LOCATION
NJ5399678OtherCCN
NJ0507767000OtherAMERIHEALTH NJ
NJ2K5496OtherHEALTHNET OF THE NORTHEAS
NJ5098700Medicaid
NJ2K5496OtherHEALTHNET OF THE NORTHEAS
NJ4320503OtherAETNA PPO SEA GIRT LOCATI
NJ0814303OtherCIGNA