Individual provider · Type 1 NPI

Mena Raafat Hasaballa, DO, MS

Student in an Organized Health Care Education/Training Program · Brick, NJ

NPI number 1376334938 Active

Practice location

425 Jack Martin Blvd
Brick, NJ 08724-7732

Call (732) 840-2200 Map

Mailing address

2906 Inverness Dr
Toms River, NJ 08753-6319

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376334938

Mena Raafat Hasaballa, DO, MS's National Provider Identifier is 1376334938, issued on May 14, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brick, NJ. The record was last updated on May 15, 2026.