Individual
GINA DECK
Active
Individual
GINA DECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
258559
MA
2084N0600X
Clinical Neurophysiology Physician
MD15342
RI
Other
Enumeration date
06/24/2010
Last updated
08/21/2019
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