| Ali R. Surahio | |
|
10 Shawnee Dr Suite B2 Watchung NJ 07069-5803 | |
| (917) 932-3433 | |
| Not Available |
| Full Name | Ali R. Surahio |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 10 Shawnee Dr, Watchung, New Jersey |
| Authorized Official Name and Position | Ali R. Surahio (MD/PSYCHIATRIST) |
| Authorized Official Contact | 9179323433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ali R. Surahio 306 W Morris Ave Apartment 2 Linden NJ 07036-4376 Ph: () - | Ali R. Surahio 10 Shawnee Dr Suite B2 Watchung NJ 07069-5803 Ph: (917) 932-3433 |
| NPI Number | 1255868956 |
|---|---|
| Provider Enumeration Date | 05/12/2017 |
| Last Update Date | 05/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255868956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 25MA09574700 (New Jersey) | Primary |
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