| Doctor Name: | GERALYN M GEDAKA |
| NPI Number: | 1013221050 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 26NJ00294700 |
| Business Practice Address: | 1765 Springdale Rd Suite B-1 Cherry Hill, NJ - 080032177 |
| Business Phone Number: | 8567517420 |
| Business Fax Number: | 8564243113 |
| Mailing Address: | 500 Grove St, HADDON HEIGHTS |
| State: | NJ |
| Postal Code: | 080351761 |
| Phone Number: | 8567969200 |
| Fax Number: | 8563105603 |
| NPI Enumeration Date: | 08/02/2010 |
| NPI Last Update Date: | 04/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 26NJ00294700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |