Provider Demographics
NPI:1215045067
Name:DUCA, ROBERT A JR (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:DUCA
Suffix:JR
Gender:M
Credentials:DC
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Mailing Address - Street 1:2136 GALLOWS RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:DUNN LORING
Mailing Address - State:VA
Mailing Address - Zip Code:22027-1036
Mailing Address - Country:US
Mailing Address - Phone:703-641-4966
Mailing Address - Fax:703-560-0345
Practice Address - Street 1:2136 GALLOWS RD
Practice Address - Street 2:SUITE D
Practice Address - City:DUNN LORING
Practice Address - State:VA
Practice Address - Zip Code:22027-1036
Practice Address - Country:US
Practice Address - Phone:703-641-4966
Practice Address - Fax:703-560-0345
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0104000700111NI0900X
DCCH30005111NI0900X
CADC 18784111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist