Individual
JOSE A.T. SUROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6410 ROCKLEDGE DR, SUITE 110, BETHESDA, MD 20817-1809
(301) 530-7303
(301) 530-7312
Mailing address
6410 ROCKLEDGE DR, SUITE 505, BETHESDA, MD 20817-1809
(301) 530-7303
(301) 530-7312
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0065736
MD
Other
Enumeration date
04/04/2007
Last updated
05/22/2014
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