NPI 1164143566
The Diep Group CT PLLC
Practice location
- Address
- 5520 Park Ave STE Wp-2300, Trumbull, CT 06611-3463
- Phone
- (203) 374-0310
Authorised official
- Name
- Shareef Jandali
- Title
- MD
- Phone
- (203) 374-0310
Registered specialties
Plastic Surgery Physician
Primary
Registry record
- NPI
- 1164143566
- Entity type
- Organization
- NPI issued
- 6 Sep 2022
- Record last updated
- 29 Feb 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.