Individual
JACQUELINE DECUNZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1 GATEWAY CTR STE 2600, NEWARK, NJ 07102-5323
(888) 731-8994
Mailing address
903 BOND ST, ASBURY PARK, NJ 07712-5903
(518) 796-1399
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306928
NY
Other
Enumeration date
07/31/2014
Last updated
09/04/2025
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