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Individual
DENISE M DECONCINI
Active
Individual
DENISE M DECONCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0040685
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093751700
—
MD
Enumeration date
03/01/2006
Last updated
07/15/2020
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