Organization
EDISON NEUROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASMUKH SUTARIA MD (OWNER)
(908) 672-0403
Entity
Organization
Contact information
Practice address
CAREWELL HEALTH MEDICAL CENTER, 300 CENTRAL AVENUE, EAST ORANGE, NJ 07018
(973) 672-8400
Mailing address
17 ANNA LN, EDISON, NJ 08820-1503
(908) 672-0403
(908) 756-6879
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366408056
—
NJ
05
—
1568750263
—
NJ
Enumeration date
12/07/2022
Last updated
12/08/2025
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