Individual
DR. MICHAEL JOSEPH LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(516) 945-3000
Mailing address
15 DRUM CT, HOWELL, NJ 07731-1655
(732) 221-0905
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ01328900
NJ
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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