Individual
BRENDAN MICHAEL DECENSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
170 MANNING DR # 7594, CHAPEL HILL, NC 27514-4221
(513) 885-9135
Mailing address
10537 ADVENTURE LN, MONTGOMERY, OH 45242-4903
(513) 885-9135
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2022-02039
NC
390200000X
Student in an Organized Health Care Education/Training Program
261306
NC
Other
Enumeration date
04/27/2020
Last updated
08/09/2022
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