Organization
THE DIEP GROUP CT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAREEF JANDALI MD (MD)
(203) 374-0310
Entity
Organization
Contact information
Practice address
5520 PARK AVE STE WP-2300, TRUMBULL, CT 06611-3463
(203) 374-0310
Mailing address
5520 PARK AVE STE WP-2300, TRUMBULL, CT 06611-3463
(203) 374-0310
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
02/29/2024
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