Individual
DR. RAYMOND CHARLES DECESARE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
521 MT PLEASANT DR, SUITE 101, SCRANTON, PA 18503-1987
(570) 346-7338
(570) 341-3025
Mailing address
521 MT PLEASANT DR, SUITE 101, SCRANTON, PA 18503-1987
(570) 346-7338
(570) 341-3025
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD067457L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017521800008
—
PA
Enumeration date
01/25/2006
Last updated
08/15/2013
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