Individual provider · NPI-1
Delaney Micaylah Duncan, PA
Physician Assistant · Wall Township, NJ
NPI number1215728118
StatusActive
Last updated in NPPESMar 30, 2026
Details
- NPI
- 1215728118
- Entity type
- Individual (NPI-1)
- Name
- Delaney Micaylah Duncan
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 13, 2025
- Certification date
- Mar 30, 2026
- Last updated
- Mar 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00934700 | NJ | Yes |
| 363A00000X | Physician Assistant | MA066652 | PA |
Practice location
1959 State Route 34 Ste 202Wall Township, NJ 07719-9790
Phone 732-943-1811
Mailing address
1959 State Route 34 Ste 202Wall Township, NJ 07719-9790
Phone 732-943-1811
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