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Individual
DR. GAUTAM C SURANA
Active
Individual
DR. GAUTAM C SURANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MA03494800
NJ
207R00000X
Internal Medicine Physician
Primary
25MA03494800
NJ
Other
Enumeration date
09/16/2005
Last updated
12/28/2016
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