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SHAILEN JALALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
700 E TOWNSHIP LINE RD, FIRST FLOOR, HAVERTOWN, PA 19083-5733
(484) 458-1000
(484) 458-1001
Mailing address
PO BOX 33465, BELFAST, ME 04915-0612
(888) 985-2727
(856) 779-0211

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
25MA07859500
NJ
208VP0014X
Interventional Pain Medicine Physician
Primary
MD036877E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012471380004
PA
01
0124713801
AMERICHOICE
PA
01
051051700
KEYSTONE MEDICARE 65
PA
01
1241827
UNITED HEALTHCARE
NJ
01
1383718
CIGNA
NJ
01
1454762
AETNA
NJ
01
221914
US FAMILY HEALTH PLAN
NJ
01
2814318000
AMERIHEALTH, KHPE, PERSONAL CHOICE
NJ
05
50279209
NJ
01
54-2177172
HEALTH NET (TRICARE)
NJ
01
P3729064
OXFORD
NJ
Enumeration date
02/10/2006
Last updated
04/18/2023
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