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Individual
DR. SURENDRA R. VASHI
Active
Individual
DR. SURENDRA R. VASHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DIO 17619
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1168217
HORIZON NJ HEALTH
NJ
01
—
17836
AMERIGROUP
NJ
01
—
300133795
TAX ID
NJ
01
—
336421
AMERICHOICE
NJ
05
—
4634501
—
NJ
Enumeration date
11/13/2006
Last updated
06/08/2012
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