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

NPI #1912176793 in Newark, New Jersey

Provider Information

NPI Number: 1912176793
Entity Type: Organization
Organization Name: Surendra R Vashi, D. Md.,p.a.
Primary Specialty: Dentist
Enumeration Date: Feb 26, 2008
Last Updated: Feb 26, 2008

Practice Location

Address: 57 BROADWAY
City: Newark
State: New Jersey
ZIP Code: 07104-2503
Phone: (973) 481-3981

Authorized Official

Name: MRS. ROSIO M PALACIOS
Title: OFFICE MANAGER
Phone: (973) 481-3981

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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