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Individual

DR. CHARLES S DECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
501 S WASHINGTON AVE STE 1000, SCRANTON, PA 18505-3814
(570) 941-0630
(570) 230-0013
Mailing address
501 S WASHINGTON AVE STE 1000, SCRANTON, PA 18505-3814
(570) 941-0630
(570) 230-0013

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD024647E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0001495889001
PA
Enumeration date
09/07/2005
Last updated
02/21/2022
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