Individual
DR. VINCENT L DECICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8109 RITCHIE HWY, PASADENA, MD 21122-6917
(443) 481-1000
Mailing address
8109 RITCHIE HWY STE 100, PASADENA, MD 21122-6917
(443) 270-8600
(443) 270-8990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H83333
MD
Other
Enumeration date
02/02/2006
Last updated
07/31/2023
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