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1679333124
SURAJ POTHINENI
HACKENSACK, NJ
NPI
1679333124
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-21
Last Update Date
2024-03-21
Business Address
Dr. SURAJ POTHINENI DO
30 PROSPECT AVE
HACKENSACK, NJ 07601-1915
Phone number: 551-996-2000
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Mailing Address
Dr. SURAJ POTHINENI DO
30 PROSPECT AVE
HACKENSACK, NJ 07601-1915
Phone number:
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