Organization
SURENDRA R VASHI, D. MD.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSIO M PALACIOS (OFFICE MANAGER)
(973) 481-3981
Entity
Organization
Contact information
Practice address
57 BROADWAY, NEWARK, NJ 07104-2503
(973) 481-3981
(973) 481-1082
Mailing address
57 BROADWAY, NEWARK, NJ 07104-2503
(973) 481-3981
(973) 481-1082
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17619
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13767
DORAL
NJ
Enumeration date
02/26/2008
Last updated
02/26/2008
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