| John F Decarli DO | |
|
700 W Lea Blvd Suite 306 Wilmington DE 19802-2500 | |
| (302) 761-9620 | |
| (302) 761-9625 |
| Full Name | John F Decarli DO |
|---|---|
| Speciality | Internal Medicine |
| Location | 700 W Lea Blvd, Wilmington, Delaware |
| Authorized Official Name and Position | John Frederick Decarli (PROPRIETOR) |
| Authorized Official Contact | 3027619620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John F Decarli DO 700 W Lea Blvd Suite 306 Wilmington DE 19802-2500 Ph: (302) 761-9620 | John F Decarli DO 700 W Lea Blvd Suite 306 Wilmington DE 19802-2500 Ph: (302) 761-9620 |
| NPI Number | 1821155235 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821155235 | NPI | - | NPPES |
| 0000099604 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | C2-0002853 (Delaware) | Primary |
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