Individual
GISELLE ATALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47 PALOMINO DR, OLD BRIDGE, NJ 08857-3622
(562) 237-4797
Mailing address
47 PALOMINO DR, OLD BRIDGE, NJ 08857-3622
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03984000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28RI03984000
—
NJ
Enumeration date
12/04/2020
Last updated
12/04/2020
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