New Jersey
Division of Consumer Affairs
Gerald C DeTata
Medical Doctor
License number
25MA04005400
Date granted
01/21/1982
Date expires
06/30/2015
Class
Medical Doctor
Status
Active
licensingnj.com
ID 8715376
LAST UPDATED 2024-04-11 17:22:47 UTC
LAST UPDATED 2024-04-11 17:22:47 UTC
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