Organization
GRATEFUL THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FLAKS DO (OWNER)
(908) 653-9399
Entity
Organization
Contact information
Practice address
141 THOMAS JOHNSON DR STE 170, FREDERICK, MD 21702-4530
(240) 556-5748
Mailing address
4 ESTHER ANN WAY, REISTERSTOWN, MD 21136-5846
(908) 653-9399
(908) 653-9305
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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