Individual provider · Type 1 NPI

Jonathan Michael Decker, DO

Student in an Organized Health Care Education/Training Program · Long Branch, NJ

NPI number 1194254516 Active

Practice location

300 Second Avenue
Long Branch, NJ 07740

Call (215) 622-4593 Map

Mailing address

300 2nd Ave
Long Branch, NJ 07740-6303

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194254516

Jonathan Michael Decker, DO's National Provider Identifier is 1194254516, issued on Jun 8, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Long Branch, NJ. The record was last updated on Jun 8, 2017.