Decaro Family Practice Pc

NPI 1043366503 - Family Medicine - 207Q00000X

NPI Details
NPI 1043366503
Enumeration Date 01/26/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARY M MARY
Position OWNER
Phone (610) 690-8225
Fax (610) 690-8227
Practice Location
100 W SPROUL RD
SUITE 220
SPRINGFIELD PA, 19064-2033, US
Phone (610) 690-8225
Fax (610) 690-8227
Business Location
100 W SPROUL RD
SUITE 220
SPRINGFIELD PA, 19064-2033, US
Phone (610) 690-8225
Fax (610) 690-8227
Toxanomy
Taxonomy Code 207Q00000X
License State Pennsylvania
License Number MD041724L
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According to our database, Decaro Family Practice Pc NPI is 1043366503, taxonomy code is 207Q00000X and license number is MD041724L, license state is located at Pennsylvania. Decaro Family Practice Pc physically located at 100 W Sproul Rd, Springfield PA, 19064-2033. NPI Number 1033115704 has the healthcare provider type.

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1043366503 NPI number is provided on an as is basis without warranty of any kind. 1043366503 is maintained by the National Plan & Provider Enumeration System. The contents of Decaro Family Practice Pc are for informational purposes only.