Individual
GARY JOSEPH SURMAN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
106 DIVISION ST, SUITE 1, COBLESKILL, NY 12043-4605
(518) 234-4365
(518) 234-4366
Mailing address
106 DIVISION ST, P.O. BOX 207, COBLESKILL, NY 12043-4605
(518) 234-4365
(518) 234-4366
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
029707
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00526701
—
NY
Enumeration date
07/31/2007
Last updated
07/31/2007
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