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1598719684
DAXA SURTI
WEST NEW YORK, NJ
NPI
1598719684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NJ 25MA06048402)
Enumeration Date
2006-05-21
Last Update Date
2012-03-13
Business Address
Dr. DAXA SURTI M.D.
5301 BROADWAY
WEST NEW YORK, NJ 07093-2622
Phone number: 201-866-9320
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Mailing Address
Dr. DAXA SURTI M.D.
363 MANHATTAN ST
STATEN ISLAND, NY 10307-1808
Phone number:
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