Individual
SAMIR SUTARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2177 OAK TREE RD, SUITE 204, EDISON, NJ 08820-1082
(908) 686-9330
(908) 769-4736
Mailing address
2177 OAK TREE RD, SUITE 204, EDISON, NJ 08820-1082
(908) 686-9330
(908) 769-4736
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA07583200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076538
—
NJ
Enumeration date
04/07/2006
Last updated
01/25/2011
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