Organization
ALI R. SURAHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI R. SURAHIO M.D. (MD/PSYCHIATRIST)
(917) 932-3433
Entity
Organization
Contact information
Practice address
10 SHAWNEE DR, SUITE B2, WATCHUNG, NJ 07069-5803
(917) 932-3433
Mailing address
306 W MORRIS AVE, APARTMENT 2, LINDEN, NJ 07036-4376
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
25MA09574700
NJ
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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