Individual
SUHAYL S DHIB-JALBUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 PATERSON ST, SUITE 6100, NEW BRUNSWICK, NJ 08901-1962
(732) 235-7733
(732) 235-7041
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA07592100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005304
—
NJ
01
—
P00726729
RR MCR PTAN
NJ
Enumeration date
11/21/2006
Last updated
10/28/2010
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