Individual
SCOTT HOWARD DECKELBAUM
Active
Individual
SCOTT HOWARD DECKELBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
20A10789
CA
207N00000X
Dermatology Physician
235559
NY
207N00000X
Dermatology Physician
Primary
23933
NH
207N00000X
Dermatology Physician
5176
OK
207ND0101X
MOHS-Micrographic Surgery Physician
OS14334
FL
207Q00000X
Family Medicine Physician
20A10789
CA
207Q00000X
Family Medicine Physician
235559-1
NY
207Q00000X
Family Medicine Physician
5176
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02806417
—
NY
Enumeration date
07/22/2006
Last updated
06/29/2023
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