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Organization
SHAREEF JANDALI PLASTIC SURGERY LLC
Active
Organization
SHAREEF JANDALI PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAREEF JANDALI MD (OWNER)
(203) 374-0310
Entity
Organization
Contact information
Practice address
5520 PARK AVE, SUITE WP-2-300, TRUMBULL, CT 06611-3463
(203) 374-0310
(203) 374-0314
Mailing address
5520 PARK AVE, SUITE WP-2-300, TRUMBULL, CT 06611-3463
(203) 374-0310
(203) 374-0314
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
049538
CT
Other
Enumeration date
03/26/2011
Last updated
10/11/2019
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