Individual provider · Type 1 NPI

Gerald Detata, MD

Family Medicine Physician · Hammonton, NJ

NPI number 1902877079 Active

Practice location

120 S White Horse Pike
Hammonton, NJ 08037-1804

Call (609) 567-2573 Map

Fax (609) 561-8046

Mailing address

8 Bridlewood Ct
Tabernacle, NJ 08088-9600

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X25MA04005400 (NJ)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1902877079

Gerald Detata, MD's National Provider Identifier is 1902877079, issued on Jan 27, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Hammonton, NJ. The record was last updated on Apr 27, 2016.