Lawrence Deckelbaum, M.D.

NPI #1295064897 in Gladwyne, Pennsylvania

Provider Information

NPI Number: 1295064897
Entity Type: Individual
Name: Lawrence Deckelbaum, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Dec 10, 2009
Last Updated: Dec 10, 2009

Practice Location

Address: 911 MERION SQUARE RD
City: Gladwyne
State: Pennsylvania
ZIP Code: 19035-1509
Phone: (610) 649-6422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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