Individual
JASON PALLIMULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 POCONO RD, DENVILLE, NJ 07834-2954
(973) 626-9339
Mailing address
25 POCONO RD, DENVILLE, NJ 07834-2954
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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