Organization
DECKER FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN J DECKER D.O. (OWNER)
(814) 337-1144
Entity
Organization
Contact information
Practice address
901 WATER ST, MEADVILLE, PA 16335-3434
(814) 337-1144
(814) 337-0941
Mailing address
901 WATER ST, MEADVILLE, PA 16335-3434
(814) 337-1144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS010482L
PA
Other
Enumeration date
10/23/2014
Last updated
06/07/2016
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