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1629621818
GINA P DERITO
BELLEVILLE, NJ
NPI
1629621818
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ 25MP00538900)
Enumeration Date
2019-07-17
Last Update Date
2019-11-07
Business Address
GINA P DERITO
1 CLARA MAASS DR
BELLEVILLE, NJ 07109-3550
Phone number: 973-251-1095
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Mailing Address
GINA P DERITO
3 CENTURY DR
PARSIPPANY, NJ 07054-4610
Phone number:
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