Ellen Deconinck, MD

NPI #1114977865 in Mountain View, California

Provider Information

NPI Number: 1114977865
Entity Type: Individual
Name: Ellen Deconinck, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: MD
Enumeration Date: May 12, 2006
Last Updated: Nov 30, 2011

Practice Location

Address: 701 E EL CAMINO REAL
City: Mountain View
State: California
ZIP Code: 94040-2833
Phone: (650) 934-7676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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