Individual
AHMAD SAEED DERBALA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
185 S ORANGE AVE, NEWARK, NJ 07103-2757
(732) 445-4636
Mailing address
185 S ORANGE ST., NEWARK, NJ 07103
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
N/A
—
Enumeration date
09/10/2021
Last updated
09/10/2021
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