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Individual
RAYMOND CHARLES DECESARE SR.
Active
Individual
RAYMOND CHARLES DECESARE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS002690L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14843
GEISENGERS
PA
01
—
503825
US HEALTHCARE/AETNA
PA
01
—
DE041920
BLUE SHIELD/BLUE CROSS
PA
Enumeration date
10/10/2006
Last updated
07/21/2022
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