Individual
SURENDRA K BAGARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
539 EGG HARBOR RD STE 1, LOURDES CARDIOLOGY SERVICES, P.C., SEWELL, NJ 08080-2371
(856) 589-0300
(856) 589-1753
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
25MA04620600
NJ
207UN0901X
Nuclear Cardiology Physician
Primary
25MA04620600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0586901
—
NJ
Enumeration date
08/18/2005
Last updated
09/30/2024
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