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Individual

DR. JOSEPH DECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
123 DI SALVO AVE, SUITE 20, SAN JOSE, CA 95128-1717
(408) 279-4664
(408) 279-0464
Mailing address
123 DI SALVO AVE, SUITE 20, SAN JOSE, CA 95128-1717
(408) 279-4664
(408) 279-0464

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G11266
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
181912104
MEDICARE RAILROAD
CA
Enumeration date
05/18/2006
Last updated
01/06/2016
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