Decoteau, Mary Ann

Decoteau, Mary Ann is an individual health care provider with primary practice located at 51 N 39Th St , Philadelphia PA 19104-2640. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Decoteau, Mary Ann can be contacted via phone (215) 662-7320.

Contact Information

Primary practice address
51 N 39Th St Philadelphia PA 19104-2640
Phone: (215) 662-7320
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME147113 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X MD476305 Pennsylvania

Profile Details

NPI number 1164785580
LBN Legal business name Decoteau, Mary Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2012
Last updated Feb 12th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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