Individual
RENUKA H. TANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
160 ATLANTIC CITY BLVD, BAYVILLE, NJ 08721-1229
(732) 349-1977
(732) 349-0841
Mailing address
160 ATLANTIC CITY BLVD, BAYVILLE, NJ 08721-1229
(732) 349-1977
(732) 349-0841
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA06521400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8826200
—
NJ
Enumeration date
07/18/2006
Last updated
10/08/2012
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