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Individual

VALENTYNA TACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
101 OLD SHORT HILLS RD STE 105, WEST ORANGE, NJ 07052-1080
(973) 325-1115
(973) 325-1186
Mailing address
401 ROUTE 73 N BLDG 10, SUITE 320, MARLTON, NJ 08053
(973) 325-1115
(973) 325-1186

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MB11903400
NJ
208000000X
Pediatrics Physician
DO035019
DC

Other

Enumeration date
05/09/2018
Last updated
07/05/2023
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