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Individual

DR. RENU MUTTANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4802 TENTH AVENUE, MAIMONODES MEDICAL CENTER DEPARTMENT OF INTERNAL MEDIC, BROOKLYN, NY 11219
(718) 283-6000
Mailing address
360 ESSEX ST STE 301, HACKENSACK, NJ 07601-8566
(201) 646-0110

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
274225-1
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0421031
NJ
Enumeration date
06/11/2008
Last updated
12/23/2020
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