Deluca, Russell Robert

Deluca, Russell Robert is an individual health care provider with primary practice located at 305 Hospital Drive , Glen Burnie MD 21061. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Deluca, Russell Robert can be contacted via phone (410) 761-9896.

Contact Information

Primary practice address
305 Hospital Drive Glen Burnie MD 21061
Phone: (410) 761-9896
Fax: (410) 761-2250
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X D0031551 Maryland
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X D0031551 Maryland

Profile Details

NPI number 1114994373
LBN Legal business name Deluca, Russell Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Feb 24th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114994373 NPPES
Maryland MEDICAID 408391100
Maryland MEDICAID 210121100

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