Provider Demographics
NPI:1114779881
Name:DELUCIA, MARIA
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:DELUCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 TREATY RD
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-5022
Mailing Address - Country:US
Mailing Address - Phone:484-343-3554
Mailing Address - Fax:
Practice Address - Street 1:35 EVANSBURG RD STE 100
Practice Address - Street 2:
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-3165
Practice Address - Country:US
Practice Address - Phone:610-326-9250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-04
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program