Delston, Damon Deckelman

Delston, Damon Deckelman is an individual health care provider with primary practice located at 665 Newark Avenue , Jersey City NJ 07306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Delston, Damon Deckelman can be contacted via phone (201) 963-9331.

Contact Information

Primary practice address
665 Newark Avenue Jersey City NJ 07306
Phone: (201) 963-9331
Fax: (212) 581-9860
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 25MA04401600 New Jersey

Profile Details

NPI number 1720297963
LBN Legal business name Delston, Damon Deckelman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720297963 NPPES
New Jersey MEDICAID 7151501
New Jersey Other J001208

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