SURRIAYA KHANUM

WAYNE, NJ
NPI1508947797
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NJ  25MA03962000)
Enumeration Date2006-10-17
Last Update Date2008-06-03
Business Address
-- SURRIAYA KHANUM
103 TIMBERLINE DR
WAYNE, NJ 07470-5558
Phone number: 973-696-0710
Mailing Address
-- SURRIAYA KHANUM
103 TIMBERLINE DR
WAYNE, NJ 07470-5558
Phone number: