Gina P Derito
NPI #1629621818 in Belleville, New Jersey
Provider Information
- NPI Number
- 1629621818
- Entity Type
- Individual
- Name
- Gina P Derito
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jul 17, 2019
- Last Updated
- Nov 7, 2019
Practice Location
- Address
- 1 CLARA MAASS DR
- City
- Belleville
- State
- New Jersey
- ZIP Code
- 07109-3550
- Phone
- (973) 251-1095
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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