Individual
KEROLES MONGY SHAFIK SAADALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(201) 915-2542
Mailing address
460 GRAND ST APT 510, JERSEY CITY, NJ 07302-4274
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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