Active NPIOrganization

Shareef Jandali Plastic Surgery LLC

Surgery, Plastic and Reconstructive Surgery in Trumbull, Connecticut

NPI Number1730488982
Practice location
5520 Park Ave, Suite Wp-2-300, Trumbull, CT 06611-3463
Fax
203-374-0314
Last updated
October 11, 2019

Shareef Jandali Plastic Surgery LLC is a healthcare organization based in Trumbull, CT. Shareef Jandali Plastic Surgery LLC practices in Trumbull, CT. The NPI Number for Shareef Jandali Plastic Surgery LLC is 1730488982 and holds a License No. 049538 (CT). The current practice location address for Shareef Jandali Plastic Surgery LLC is 5520 Park Ave, Suite Wp-2-300, Trumbull, CT 06611-3463 and can be reached out via phone at 203-374-0310 and via fax at 203-374-0314.

Provider Profile Details

NPI Number
1730488982
Provider Name
Shareef Jandali Plastic Surgery LLC
Provider Entity Type
Organization
Address
5520 Park Ave, Suite Wp-2-300, Trumbull, CT 06611-3463
Phone Number
203-374-0310
Fax Number
203-374-0314
Primary Taxonomy
Surgery, Plastic and Reconstructive Surgery · 2086S0122X
Organization Subpart
No
Authorized Official
Dr. Shareef Jandali, MD · Owner · 203-374-0310
Provider Enumeration Date
March 26, 2011
Last Update Date
October 11, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
5520 Park Ave
Suite Wp-2-300
Trumbull, CT 06611-3463
Zip
06611-3463
Phone Number
203-374-0310
Fax Number
203-374-0314
Trumbull, CT 06611Get directions →

Provider Business Mailing Address Details

Address
5520 Park Ave
Suite Wp-2-300
Trumbull, CT 06611-3463
City
Trumbull
State
CT
Zip
06611-3463
Phone Number
203-374-0310
Fax Number
203-374-0314

License Information

License Number
049538
License State
CT
Taxonomy
Surgery, Plastic and Reconstructive Surgery · 2086S0122X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shareef Jandali Plastic Surgery LLC?

The NPI number of Shareef Jandali Plastic Surgery LLC is 1730488982. It was assigned on March 26, 2011 and is currently active in the NPPES registry.

What is the specialty of Shareef Jandali Plastic Surgery LLC?

Shareef Jandali Plastic Surgery LLC is registered under the primary taxonomy Surgery, Plastic and Reconstructive Surgery (code 2086S0122X), licensed in CT under license number 049538.

Where does Shareef Jandali Plastic Surgery LLC practice?

The practice location is 5520 Park Ave, Suite Wp-2-300, Trumbull, CT 06611-3463. The office can be reached at 203-374-0310 (phone) or 203-374-0314 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730488982 directly on the NPPES registry website.

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