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Individual

CYNTHIA N EDIRISURIYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
100 K JOHNSON BLVD. N., 2ND FLOOR, BORDENTOWN, NJ 08505-2275
(609) 528-8884
(609) 528-8886
Mailing address
100 K JOHNSON BLVD. N., 2ND FLOOR, BORDENTOWN, NJ 08505-2275
(609) 528-8884
(609) 528-8886

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA10372900
NJ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/22/2015
Last updated
07/15/2021
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