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General NPI Number Information
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NPI Number | 1376894667
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Entity Type | Organization
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Legal Business Name | ASKLEPIOS SURGICAL ASSOCIATES LLC
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Dates
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Enumeration Date | 09/26/2012
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Last Update Date | 05/24/2013
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Provider Practice Location Address
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Address Line | 646 ROUTE 18 BLDG A STE 103
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3722
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Country | US
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Telephone | 732-837-2137
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Fax | 732-254-1558
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Provider Business Mailing Address
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Address Line | 646 ROUTE 18 BLDG A STE 103
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3722
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Country | US
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Telephone | 732-837-2137
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Fax | 732-254-1558
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. GIRIJA S SURYA
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Credential | M.D.
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Telephone | 732-837-2137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State | NJ
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