GERALD DETATA

HAMMONTON, NJ
NPI1902877079
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NJ  25MA04005400)
Enumeration Date2006-01-27
Last Update Date2016-04-27
Business Address
Dr. GERALD DETATA MD
120 S WHITE HORSE PIKE
HAMMONTON, NJ 08037-1804
Phone number: 609-567-2573
Mailing Address
Dr. GERALD DETATA MD
8 BRIDLEWOOD CT
TABERNACLE, NJ 08088-9600
Phone number: 609-792-1092
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