Individual
MADHU SURYADEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
166 LYONS AVE FL 2, NEWARK, NJ 07112-2016
(732) 937-8939
Mailing address
166 LYONS AVE FL 2, NEWARK, NJ 07112-2016
(732) 937-8939
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA10940200
NJ
207RI0200X
Infectious Disease Physician
Primary
25MA10940200
NJ
Other
Enumeration date
04/08/2013
Last updated
04/24/2023
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