Individual
SURESH CHANDER GIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 PROSPECT STREET, SUITE 211, LAKEWOOD, NJ 08701
(732) 864-7776
(732) 905-9407
Mailing address
101 PROSPECT STREET, SUITE 211, LAKEWOOD, NJ 08701
(732) 864-7776
(732) 905-9407
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
25MA04234900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA04234900
NJ LICS
NJ
05
—
3376001
—
NJ
Enumeration date
10/24/2006
Last updated
03/07/2023
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