Sujatha Sukhavasi M.D.

NPI 1164605663 - Anesthesiology - 207L00000X

NPI Details
NPI 1164605663
Gender Female
Enumeration Date 12/07/2007
Last Updated 06/18/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
350 BOULEVARD
PASSAIC NJ, 07055-2840, US
Phone (973) 365-4300
Fax (845) 357-5777
Business Location
100 ROUTE 59
SUITE 105
SUFFERN NY, 10901-4927, US
Phone (845) 357-5775
Fax (845) 357-5777
Toxanomy
Taxonomy Code 207L00000X
License State New York
License Number 238812
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According to our database, Dr. Sujatha Sukhavasi M.D. NPI is 1164605663, taxonomy code is 207L00000X and license number is 238812, license state is located at New York. Sujatha Sukhavasi M.D. physically located at 350 Boulevard, Passaic NJ, 07055-2840. NPI Number Sujatha Sukhavasi M.D. has the Individual type.

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1164605663 NPI number is provided on an as is basis without warranty of any kind. 1164605663 is maintained by the National Plan & Provider Enumeration System. The contents of Sujatha Sukhavasi M.D. are for informational purposes only.