Dr. Gerald Detata, MD
Dr. Gerald Detata, MD is a Family Medicine Physician in Hammonton, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.
- Licensed in
- NJ
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
120 S White Horse PikeHammonton, NJ 08037-1804
Phone: (609) 567-2573
Fax: (609) 561-8046
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Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 25MA04005400 (NJ) |
|---|
Record details
| NPI number | 1902877079 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | January 27, 2006 |
| Last updated in NPPES | April 27, 2016 |
| Mailing address | 8 Bridlewood Ct, Tabernacle, NJ 08088-9600 |
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Dr. Ralph F. Costa, MD
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