Organization

Surendra R Vashi, D. Md.,p.A.

Dentist in Newark, NJ(View on Map)

Legal Business Name

Surendra R Vashi, D. Md.,p.A.

NPI Number

1912176793

NPI Type

Organization

Enumeration Date

02/26/2008

Specialties

(Taxonomies)

Name

Code

122300000X

Primary Taxonomy

Yes

Licenses

State

New Jersey

License Number

17619

Contact
Information

Purpose

Mailing
Location

Address

57 BROADWAY
57 BROADWAY

City

Newark
Newark

State

NJ
NJ

Postal Code

07104-2503
07104-2503

Country

US
US

Telephone Number

(973) 481-3981
(973) 481-3981

Authorized Official

Name

Mrs. Rosio Palacios

Title or Position

OFFICE MANAGER

Telephone Number

(973) 481-3981

Identifiers

Identifier

13767

Identifier State

NJ

Identifier Issuer

DORAL

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/26/2008

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