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1235062704 NPI number — MARC FRANCESCO DECARLO CCP

NPI Number: 1235062704
Health Care Provider/Practitioner: MARC FRANCESCO DECARLO CCP

Information about “1235062704” NPI (MARC FRANCESCO DECARLO CCP) exists in 1235062704 in HTML format HTML  |  1235062704 in plain Text format TXT  |  1235062704 in PDF (Portable Document Format) PDF  |  1235062704 in an XML format XML  formats.

NPI Number : 1235062704 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235062704",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DECARLO",
    "FirstName": "MARC",
    "MiddleName": "FRANCESCO",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CCP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "30 APPLE VALLEY DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LANGHORNE",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19047-1901",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "215-662-4000",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1 CONVENTION AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PHILADELPHIA",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19104-4311",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "215-662-4000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/04/2026",
    "LastUpdateDate": "06/04/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "246X00000X",
        "TaxonomyName": "Cardiovascular Specialist/Technologist",
        "LicenseNumber": "PRF000355",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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