Individual
MICHAEL A DEGAETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
211 ESSEX ST, HACKENSACK, NJ 07601-3231
(551) 999-6433
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00666300
NJ
Other
Enumeration date
08/01/2021
Last updated
02/01/2022
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