Individual
DR. JONATHAN MICHAEL DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 SECOND AVENUE, LONG BRANCH, NJ 07740
(215) 622-4593
Mailing address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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