Provider Demographics
NPI:1790754059
Name:DUCA, MARIA D (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:D
Last Name:DUCA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:301 LIPPINCOTT DR STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:856-355-0340
Mailing Address - Fax:856-355-0330
Practice Address - Street 1:728 MARNE HWY STE 200A
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-3128
Practice Address - Country:US
Practice Address - Phone:856-291-8855
Practice Address - Fax:856-291-8844
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2023-04-14
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06556000207UN0901X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P2024166OtherOXFORD
0005285487OtherAETNA
2K4289OtherHEALTHNET
NJ7394403Medicaid
2K4289OtherHEALTHNET
NJ950517YBAWMedicare PIN
0005285487OtherAETNA