Individual
AHMED TEJAN JALLOH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(718) 501-5559
Mailing address
18 PAERDEGAT 4TH ST, BROOKLYN, NY 11236-4136
(718) 501-5559
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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