Organization
JOHN F DECARLI DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FREDERICK DECARLI DO (PROPRIETOR)
(302) 761-9620
Entity
Organization
Contact information
Practice address
700 W LEA BLVD, SUITE 306, WILMINGTON, DE 19802-2500
(302) 761-9620
(302) 761-9625
Mailing address
700 W LEA BLVD, SUITE 306, WILMINGTON, DE 19802-2500
(302) 761-9620
(302) 761-9625
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C2-0002853
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000099604
—
DE
Enumeration date
01/03/2007
Last updated
08/22/2020
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