Individual
SHAREEF JANDALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
208200000X
Plastic Surgery Physician
MD 049538
CT
208200000X
Plastic Surgery Physician
MT185935
PA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
049538
CT
Other
Enumeration date
12/28/2006
Last updated
10/11/2019
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