Individual
ANTHONY SURACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 277-8872
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
227529
NY
207L00000X
Anesthesiology Physician
Primary
25MA07601700
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
227529
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MA07601700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073024
—
NJ
Enumeration date
06/26/2006
Last updated
02/11/2021
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