Provider Demographics
NPI:1720677743
Name:GIALANELLA, MICHELLE ALISE
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:ALISE
Last Name:GIALANELLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:ALISE
Other - Last Name:REINSDORF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:83 IRONWOOD CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-1917
Mailing Address - Country:US
Mailing Address - Phone:973-271-0658
Mailing Address - Fax:
Practice Address - Street 1:877 MAIN ST
Practice Address - Street 2:
Practice Address - City:BELFORD
Practice Address - State:NJ
Practice Address - Zip Code:07718-2001
Practice Address - Country:US
Practice Address - Phone:732-471-9100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02787200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist