Individual
MS. LISA A. FLATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 E RIDGEWOOD AVE STE 200, RIDGEWOOD, NJ 07450-3937
(908) 522-2000
Mailing address
1805 HIDDEN POND LN, TOMS RIVER, NJ 08755-1354
(732) 349-6339
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MP427
NJ
Other
Enumeration date
02/24/2015
Last updated
11/01/2016
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