Individual
DR. SHIRMELA RAMBALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(312) 942-5000
Mailing address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(732) 840-2200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036159782
IL
2084P0804X
Child & Adolescent Psychiatry Physician
036159782
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
03/25/2019
Last updated
06/21/2024
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