Individual
SEAN FLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
725 AIRPORT RD, SUITE 7G, LAKEWOOD, NJ 08701-5968
(732) 367-2665
(732) 363-6089
Mailing address
725 AIRPORT RD, SUITE 7G, LAKEWOOD, NJ 08701-5968
(732) 367-2665
(732) 363-6089
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
05/10/2017
Last updated
05/10/2017
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