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Search › New Jersey › 207Q00000X

Gerald Detata, MD

NPI 1902877079 · on the registry since 2006

Practice

Address
120 S White Horse Pike
Hammonton, NJ 08037
Phone
(609) 567-2573
Fax
(609) 561-8046
Organisation at this address
Atlanticare Physician Group
Atlanticare Physician Group Pa
Atlanticare Behavioral Health, Inc
Atlanticare Behvioral Health, Inc.
Atlanticare Behavioral Health, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-04-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey