| Doctor Name: | PATRICIA DECAWSKI |
| NPI Number: | 1083613590 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A. |
| License Number: | C5-0000567 |
| Business Practice Address: | 1121 Bethlehem Pike 60-176 Spring House, PA - 194771102 |
| Business Phone Number: | 3022942555 |
| Business Fax Number: | 4256691611 |
| Mailing Address: | 1121 Bethlehem Pike, 60-176 SPRING HOUSE |
| State: | PA |
| Postal Code: | 194771102 |
| Phone Number: | 3022942555 |
| Fax Number: | 4256691611 |
| NPI Enumeration Date: | 07/18/2005 |
| NPI Last Update Date: | 04/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | C5-0000567 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DE |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |