GERALD C DETATA MD

ATLANTICARE PHYSICIAN GROUP PA

Dr GERALD C DETATA MD is a male medical professional, specializing in Emergency Medicine. He graduated in 1979 from Georgetown University Of Medicine.

Contact

ATLANTICARE PHYSICIAN GROUP PA

120 S WHITE HORSE PIKE
HAMMONTON
NJ
080371804

Tel: 6094072273

GERALD C DETATA MD Information

Npi 1902877079
Pac Id 2466451869
Professional Enrollment Id I20061213000098
Last Name DETATA
First Name GERALD
Middle Name C
Suffix
Gender M
Credential MD
Medical School Name GEORGETOWN UNIVERSITY OF MEDICINE
Graduation Year 1979
Primary Specialty EMERGENCY MEDICINE
Secondary Specialty 1 FAMILY MEDICINE
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties FAMILY MEDICINE
Organization Legal Name ATLANTICARE PHYSICIAN GROUP PA
Group Practice Pac Id 8527953660
Number Of Group Practice Members 382
Line 1 Street Address 120 S WHITE HORSE PIKE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City HAMMONTON
State NJ
Zip Code 080371804
Phone Number 6094072273
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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