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TINA SUSANNE RAKITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
279 3RD AVE, SUITE 101, LONG BRANCH, NJ 07740-6211
(732) 923-6080
(732) 923-6083
Mailing address
PO BOX 8000, DEPT 596, BUFFALO, NY 14267-0002
(866) 295-0041
(708) 342-2517

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
25MA08567000
NJ

Other

Enumeration date
06/12/2009
Last updated
02/13/2013
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