Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GERALD DETATA, MD
ActiveFamily Medicine · HAMMONTON, NJ
Registration Details
- NPI Number
- 1902877079
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 27, 2006 (20.272236567954 yrs)
- Last Updated
- Apr 27, 2016
- License
-
25MA04005400 (NJ)
Practice Information
- Address
-
120 S WHITE HORSE PIKEHAMMONTON, NJ, 080371804Browse NJ providers · Browse ZIP 08037
- Phone
- 6095672573
- Fax
- 6095618046
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in HAMMONTON, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN A LARATTA | DO | 1336125574 |
| DONNA JOYCE LOUGHLIN-PHERRIBO | D.O. | 1881650703 |
| STEPHEN A NURKIEWICZ | MD | 1093773350 |
| DR. SEAN MICHAEL GOUDSWARD | D.O. | 1114972999 |
| DR. HERBERT M JUNG | DO | 1568418101 |
| REBECCA CHRISITANE MOORE | D.O. | 1558391490 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.