Individual
SURYA GUHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS, MD
Contact information
Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 833-3000
Mailing address
PO BOX 911, RAMSEY, NJ 07446-0911
(201) 661-7280
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
25MA09825900
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA09825900
NJ
Other
Enumeration date
05/17/2011
Last updated
07/06/2016
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