Raymond Charles Decesare SR., D.O.

NPI #1841388485 in Portland, Pennsylvania

Provider Information

NPI Number: 1841388485
Entity Type: Individual
Name: Raymond Charles Decesare SR., D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Oct 10, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 716 DELAWARE AVENUE
City: Portland
State: Pennsylvania
ZIP Code: 18351-0358
Phone: (570) 897-6272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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