Individual
JOHN FREDERICK DECARLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
700 W LEA BLVD, SUITE 306, WILMINGTON, DE 19802-2500
(302) 761-9620
Mailing address
2405 LANDON DR, WILMINGTON, DE 19810-3511
(302) 761-9620
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C2-0002853
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000022903
—
DE
Enumeration date
08/17/2005
Last updated
07/08/2007
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