Individual
BARRY JOHN DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12011 LEE JACKSON MEMORIAL HWY, PENDERBROOK MEDICAL CENTER, FAIRFAX, VA 22033-3310
(703) 383-5400
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0101248776
VA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
0101248776
VA
Other
Enumeration date
10/18/2006
Last updated
10/31/2011
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