Individual
AMAL ALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD., PHD
Contact information
Practice address
25 RIVERSIDE DR STE 2, PINE BROOK, NJ 07058-9391
(888) 599-5227
Mailing address
5 ROCKLEDGE TER, CHATHAM, NJ 07928-1215
(917) 453-3803
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
25MS00020400
NJ
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
25MS00020400
NJ
Other
Enumeration date
02/25/2021
Last updated
03/11/2021
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