Individual
ROBERT R SURPRENANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
315 S MANNING BLVD, 7422 GAB LOVE, ALBANY, NY 12208-1707
(518) 525-1693
Mailing address
600 GRESHAM DR, # 5B, NORFOLK, VA 23507-1904
(757) 388-3198
(757) 388-4242
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/05/2009
Last updated
06/07/2016
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