Individual
DR. EDMUND J. DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
701 ROUTE 73 N STE 7, MARLTON, NJ 08053
(856) 810-1800
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB46736
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2138905
—
NJ
Enumeration date
08/02/2006
Last updated
04/02/2019
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