Search › New Jersey › 363LF0000X
Gerald Durivage, APN
NPI 1023486644 · on the registry since 2015
Practice
- Address
- 6 Collier Dr
Blackwood, NJ 08012 - Phone
- (610) 908-9811
- Organisation at this address
- Haven Detox Of New Jersey Llc
Haven Detox Nj Operating Subsidiary, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363L00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey