Individual
DR. NANCY S DEACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06229600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6836909
—
NJ
Enumeration date
01/27/2006
Last updated
11/10/2025
Update your record
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