Individual
DR. MARK J DECARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
925 CHESTNUT ST, PHILADELPHIA, PA 19107-4216
(215) 955-5050
(215) 955-7499
Mailing address
833 CHESTNUT STREET, SUITE 701, PHILADELPHIA, PA 19107-4409
(215) 955-6180
(215) 955-6410
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD449736
PA
207R00000X
Internal Medicine Physician
MT197358
PA
207RC0000X
Cardiovascular Disease Physician
Primary
MD449736
PA
Other
Enumeration date
06/07/2010
Last updated
12/20/2018
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