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Individual

GERALYN M GEDAKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
994 W SHERMAN AVE BLDG 2, VINELAND, NJ 08360-6937
(609) 383-0200
(631) 534-7246
Mailing address
994 W SHERMAN AVE BLDG 2, VINELAND, NJ 08360-6937
(631) 534-7246
(856) 457-5681

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00294700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26NJ00294700
DIVISION OF CONSUMER AFFAIRS
NJ
01
26NO11108000
DIVISION OF CONSUMER AFFAIRS
NJ
Enumeration date
08/02/2010
Last updated
07/23/2025
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