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Organization

AMESUR EYE ASSOCIATES, P.A.

Active
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Organization

AMESUR EYE ASSOCIATES, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIRAN B AMESUR M.D. (PRESIDENT)
(201) 857-4751
Entity
Organization

Contact information

Practice address
947 LINWOOD AVE, SUITE 2 SOUTH, RIDGEWOOD, NJ 07450-2939
(201) 857-4751
(201) 857-4752
Mailing address
947 LINWOOD AVE, SUITE 2 SOUTH, RIDGEWOOD, NJ 07450-2939
(201) 857-4751
(201) 857-4752

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA07468300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
065952
MEDICARE ID
Enumeration date
09/02/2010
Last updated
05/06/2011
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