Von Deck, Mercedes D

Von Deck, Mercedes D is an individual health care provider with primary practice located at 1493 Cambridge St , Cambridge MA 02139-1047. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as her primary health care specialty. Von Deck, Mercedes D can be contacted via phone (617) 665-1566.

Contact Information

Primary practice address
1493 Cambridge St Cambridge MA 02139-1047
Phone: (617) 665-1566
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 153681 Massachusetts

Profile Details

NPI number 1699881516
LBN Legal business name Von Deck, Mercedes D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Jan 30th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699881516 NPPES
Massachusetts MEDICAID 3176584

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