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Organization

QUALITY DERMATOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RENATA FLAKS DNP (NURSE PRACTITIONER)
(917) 593-1722
Entity
Organization

Contact information

Practice address
180 TAYLORS MILLS RD, MANALAPAN, NJ 07726-3306
(917) 593-1722
Mailing address
180 TAYLORS MILLS RD, MANALAPAN, NJ 07726-3306
(917) 593-1722

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
26NJ00300300
NJ

Other

Enumeration date
08/21/2015
Last updated
08/21/2015
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