Doctor Name: | LINDA R DEGAETA |
NPI Number: | 1053562942 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 25MA04272200 |
Business Practice Address: | 20 Sheephill Dr Gladstone, NJ - 079342129 |
Business Phone Number: | 9082340125 |
Business Fax Number: | 7324699180 |
Mailing Address: | 20 Sheephill Dr, GLADSTONE |
State: | NJ |
Postal Code: | 079342129 |
Phone Number: | 9082340125 |
Fax Number: | 7324699180 |
NPI Enumeration Date: | 10/09/2008 |
NPI Last Update Date: | 10/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 25MA04272200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |