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Individual

SURYA P IRAKAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1140 ROUTE 72 W, MANAHAWKIN, NJ 08050-2412
(609) 597-6011
Mailing address
331 NEWMAN SPRINGS RD, BLDG 2, STE 220, RED BANK, NJ 07701-5688

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA06747400
NJ
207RG0100X
Gastroenterology Physician
MD487535
PA
207RG0100X
Gastroenterology Physician
ME166059
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123102200
FL
05
9101608
NJ
Enumeration date
05/20/2006
Last updated
03/04/2025
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