Individual
JAMIL F RIZQALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
651 WEST MOUNT PLEASANT AVE, LIVINGSTON, NJ 07039
(973) 740-0607
(973) 740-9895
Mailing address
651 W MOUNT PLEASANT AVE, LIVINGSTON, NJ 07039-1600
(973) 740-0607
(973) 740-9895
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101015686
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
245032
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
245032
NEW YORK STATE LICENSE
NY
Enumeration date
02/16/2007
Last updated
03/07/2023
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