Organization
SUNRISE MEDICINE LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUPRIYA MASSOOD D.O. (PRESIDENT)
(973) 956-3764
Entity
Organization
Contact information
Practice address
357 ALGONQUIN RD, FRANKLIN LAKES, NJ 07417-1001
(973) 956-3764
Mailing address
357 ALGONQUIN RD, FRANKLIN LAKES, NJ 07417-1001
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MB063024
NJ
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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