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Individual

SURESH BABU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT, MS

Contact information

Practice address
3562 STATE ROUTE 27 STE 124, KENDALL PARK, NJ 08824-1062
(732) 853-8177
(732) 853-8169
Mailing address
3562 STATE ROUTE 27 STE 124, KENDALL PARK, NJ 08824-1062
(732) 853-8177
(732) 853-8169

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA01115800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180947DBD
MEDICARE
NJ
Enumeration date
12/19/2006
Last updated
11/01/2018
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