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ELLEN DECONINCK, MD — NPI 1114977865 — Dermatology — (CA)

ELLEN DECONINCK, MD — NPI 1114977865 — Dermatology — (CA) is one of 9,000 providers in the NPIVerify dataset. Key details — Provider name: ELLEN DECONINCK, MD; NPI number: 1114977865; Entity type: Individual.

Provider nameELLEN DECONINCK, MD
NPI number1114977865
Entity typeIndividual
CredentialMD
Primary specialtyDermatology
StateCA
CityMOUNTAIN VIEW
ZIP code940402833
Phone650-934-7676
NPI statusA
Enumeration date2006-05-12
Last updated2011-11-30

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