Gregory Gerard Decandia MD

NPI 1003890641 - Family Medicine - 207Q00000X

NPI Details
NPI 1003890641
Gender Male
Enumeration Date 12/06/2005
Last Updated 03/27/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
1461 SOUTH BRITAIN ROAD
SOUTHBURY CT, 06488-0901, US
Phone (203) 586-2000
Fax
Business Location
1461 SOUTH BRITAIN ROAD/ P.O. BOX 872
SOUTHBURY CT, 06488-0901, US
Phone (203) 586-2000
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Massachusetts
License Number 76773
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According to our database, Dr. Gregory Gerard Decandia MD NPI is 1003890641, taxonomy code is 207Q00000X and license number is 76773, license state is located at Massachusetts. Gregory Gerard Decandia MD physically located at 1461 South Britain Road, Southbury CT, 06488-0901. NPI Number Gregory Gerard Decandia MD has the Individual type.

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1003890641 NPI number is provided on an as is basis without warranty of any kind. 1003890641 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory Gerard Decandia MD are for informational purposes only.