Individual
DAMON DECKELMAN DELSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
665 NEWARK AVENUE, JERSEY CITY, NJ 07306
(201) 963-9331
(212) 581-9860
Mailing address
665 NEWARK AVENUE, JERSEY CITY, NJ 07306
(201) 963-9331
(212) 581-9860
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA04401600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7151501
—
NJ
01
—
J001208
CHAMPUS
—
Enumeration date
05/22/2007
Last updated
07/08/2007
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