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Individual

VICTORIA SURGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
254 EASTON AVE, CHILD NEUROLOGY, NEW BRUNSWICK, NJ 08901
(732) 339-7870
(732) 745-1632
Mailing address
254 EASTON AVE, CHILD NEUROLOGY, NEW BRUNSWICK, NJ 08901
(732) 339-7870
(732) 745-1632

Taxonomy

Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
25MA081198
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0119881
NJ
Enumeration date
10/13/2006
Last updated
07/13/2009
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