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Physician Compare National (NPI:1437370004)

HEALTHCARE PROVIDER: SURENDER M GROVER M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1437370004
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 5294875068
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20091230000007
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name GROVER
Individual professional last name
Provider First Name SURENDER
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1966
Individual professional's medical school graduation year
Primary Specialty ORTHOPEDIC SURGERY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 979 US HWY 9 N
Group Practice or individual's line 1 address
City SOUTH AMBOY
Group Practice or individual's city
State NJ
Group Practice or individual's state
Zip Code 088793302
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 310039
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 RARITAN BAY MEDICAL CENTER PERTH AMBOY DIVISION
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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