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Individual

SUHYLA ALAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
550 CENTRAL AVE STE 500, NEW PROVIDENCE, NJ 07974-1505
(908) 795-1194
(908) 522-5999
Mailing address
PO BOX 416457, BOSTON, MA 02241-3446
(844) 362-1735
(973) 290-7495

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25MA11172500
NJ
207Y00000X
Otolaryngology Physician
298858-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05814562
NY
Enumeration date
04/16/2014
Last updated
09/10/2021
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