Individual
BENJAMIN ROBERT DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MEDICAL PARK, WHEELING, WV 26003-6379
(304) 243-3000
Mailing address
4516 DAVISON ST, PITTSBURGH, PA 15201-1726
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN704480
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN704480
PA
Other
Enumeration date
11/18/2024
Last updated
01/28/2025
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