Individual
MRS. MELISSA DEACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
723 N BEERS ST STE 2C, HOLMDEL, NJ 07733-1512
(732) 888-8255
Mailing address
723 N BEERS ST, HOLMDEL, NJ 07733-1517
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00494100
NJ
Other
Enumeration date
09/27/2018
Last updated
05/29/2019
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