Healthcare Provider Details

I. General information

NPI: 1861057671
Provider Name (Legal Business Name): SHEALINNA GE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2019
Last Update Date: 06/19/2024
Certification Date: 06/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

182 SOUTH ST STE 1
MORRISTOWN NJ
07960-5350
US

IV. Provider business mailing address

SBCH, MEDICAL EDUCATION 400 W PUEBLO STREET
SANTA BARBARA CA
93015
US

V. Phone/Fax

Practice location:
  • Phone: 973-267-0300
  • Fax:
Mailing address:
  • Phone: 805-569-7315
  • Fax: 805-569-8358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberD0097946
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: