| Dr Gerald Detata, MD | |
|
120 S White Horse Pike, Hammonton, NJ 08037-1804 | |
| (609) 567-2573 | |
| (609) 561-8046 |
| Full Name | Dr Gerald Detata |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 120 S White Horse Pike, Hammonton, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902877079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA04005400 (New Jersey) | Primary |
| Entity Name | Atlanticare Physician Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093829608 PECOS PAC ID: 8527953660 Enrollment ID: O20040218000405 |
| Entity Name | Cape Regional Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538470679 PECOS PAC ID: 5395861728 Enrollment ID: O20100923000162 |
| Entity Name | Atlanticare Urgent Care Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083991616 PECOS PAC ID: 3971770959 Enrollment ID: O20120113000486 |
| Entity Name | Prohealth Urgent Care Medicine Of New Jersey Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477927754 PECOS PAC ID: 6002178647 Enrollment ID: O20180320001992 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gerald Detata, MD 8 Bridlewood Ct, Tabernacle, NJ 08088-9600 Ph: (609) 792-1092 | Dr Gerald Detata, MD 120 S White Horse Pike, Hammonton, NJ 08037-1804 Ph: (609) 567-2573 |
Stephen A Nurkiewicz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 858 S White Horse Pike Ste B2, Hammonton, NJ 08037 Phone: 609-561-2345 Fax: 609-318-7570 | |
Dr. Sean Michael Goudsward, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 187 S Route 73 Ste B, Hammonton, NJ 08037 Phone: 609-567-2101 Fax: 609-704-9351 | |
Abdullah Panah, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 854 S White Horse Pike Suite 4, Hammonton, NJ 08037 Phone: 609-704-0185 Fax: 609-704-0195 | |
Devin Michael Toledo, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 75 S White Horse Pike Frnt, Hammonton, NJ 08037 Phone: 609-561-0128 | |
Dr. Donald Krachman, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 777 S White Horse Pike Ste D1, Hammonton, NJ 08037 Phone: 609-561-0033 Fax: 609-561-2748 | |
Dr. John A Laratta, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 854 S White Horse Pike Unit 4, Hammonton, NJ 08037 Phone: 609-704-0185 Fax: 609-704-0195 | |
Sonia Sharma, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 219 N White Horse Pike Ste 101, Hammonton, NJ 08037 Phone: 609-561-4211 |