| Hasmukh Sutaria,m.d. Pa | |
|
40 Union Ave Suite 206 Irvington NJ 07111-3277 | |
| (973) 373-1196 | |
| (973) 373-1197 |
| Full Name | Hasmukh Sutaria,m.d. Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 40 Union Ave, Irvington, New Jersey |
| Authorized Official Name and Position | Hasmukh Sutaria (OWNER/PHYSICIAN) |
| Authorized Official Contact | 9087562002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hasmukh Sutaria,m.d. Pa 40 Union Ave Suite 206 Irvington NJ 07111-3277 Ph: (973) 373-1196 | Hasmukh Sutaria,m.d. Pa 40 Union Ave Suite 206 Irvington NJ 07111-3277 Ph: (973) 373-1196 |
| NPI Number | 1568750263 |
|---|---|
| Provider Enumeration Date | 07/14/2011 |
| Last Update Date | 07/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568750263 | NPI | - | NPPES |
| 5467004 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MA047626 (New Jersey) | Primary |
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