Individual
DANIELLE DECICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(559) 882-2738
(304) 598-4871
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(681) 342-3457
(304) 598-4871
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34078
WV
Other
Enumeration date
10/20/2021
Last updated
01/10/2025
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