Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 94749 | FL |
NPI | 1144279225 |
---|---|
Provider Name | Teresa Maria Gagliano-Decesare |
First Address | Delray Beach, FL 33484-6416 |
Second Address | Delray Beach, FL 33484-6416 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2006 |
Last Update Date | 21/09/2021 |