Individual
JOHN A GASATAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
348 HARRISON AVE, LODI, NJ 07644-1121
(212) 804-8226
Mailing address
348 HARRISON AVE, LODI, NJ 07644-1121
(212) 804-8226
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01261700
NJ
Other
Enumeration date
01/24/2022
Last updated
11/12/2022
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