Individual
MINA MEGALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-2802
(973) 669-5711
Mailing address
227 LAUREL RD STE 300, VOORHEES, NJ 08043-8303
(856) 669-6050
(856) 528-3117
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA10522500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Enumeration date
06/02/2015
Last updated
08/27/2019
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