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General NPI Number Information
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NPI Number | 1972656353
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Entity Type | Organization
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Legal Business Name | RITU SURI MD, LLC
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 151 MACKAY DR
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City | TENAFLY
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State | NJ
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Zip | 07670-2419
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Country | US
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Telephone | 201-568-2387
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Fax |
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Provider Business Mailing Address
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Address Line | 151 MACKAY DR
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City | TENAFLY
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State | NJ
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Zip | 07670-2419
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Country | US
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Telephone | 201-568-2387
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RITU SURI
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Credential |
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Telephone | 201-568-2387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | MA72885
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License Number State | NJ
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