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Individual

DR. ALI R SURAHIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
655 E JERSEY ST, ELIZABETH, NJ 07206-1259
(908) 994-7207
Mailing address
655 E JERSEY ST, ELIZABETH, NJ 07206-1259
(908) 994-7207

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA09574700
NJ

Other

Enumeration date
09/30/2014
Last updated
09/30/2014
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