Individual
MERCEDES D VON DECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1566
Mailing address
1493 CAMBRIDGE STREET, CAMBRIDGE, MA 02139
(617) 665-1552
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
153681
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3176584
—
MA
Enumeration date
08/22/2006
Last updated
01/30/2016
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