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John A Gasataya
Psychiatric/Mental Health Nurse Practitioner in Lodi, New Jersey
NPI 1750033320

John A Gasataya is a Psychiatric/Mental Health Nurse Practitioner based in Lodi, NJ and is specialized in Psychiatric/Mental Health. John A Gasataya practices in Lodi, NJ. The NPI Number for John A Gasataya is 1750033320 and holds a License No. 26NJ01261700 (New Jersey).

The current practice location address for John A Gasataya is 348 Harrison Ave, Lodi, NJ and can be reached out via phone at 212-804-8226.

Location: 348 Harrison Ave, Lodi, NJ, 07644-1121
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750033320
Provider Name
John A Gasataya
Credential
Provider Entity Type
Individual
Gender
Male
Address
348 Harrison Ave, Lodi, NJ, 07644-1121
Phone Number
212-804-8226
Fax Number
Provider Enumeration Date
01/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
348 Harrison Ave
City
Lodi
State
New Jersey
Zip
07644-1121
Phone Number
212-804-8226
Fax Number
person
Provider Business Mailing Address Details
Address
348 Harrison Ave
City
Lodi
State
New Jersey
Zip
07644-1121
Phone Number
212-804-8226
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
26NJ01261700 (New Jersey)
Definition
Definition to come...
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