Sutaria, Samir

Sutaria, Samir is an individual health care provider with primary practice located at 2177 Oak Tree Rd Suite 204, Edison NJ 08820-1082. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Sutaria, Samir can be contacted via phone (908) 686-9330.

Contact Information

Primary practice address
2177 Oak Tree Rd Suite 204 Edison NJ 08820-1082
Fax: (908) 769-4736
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 25MA07583200 New Jersey

Profile Details

NPI number 1083677579
LBN Legal business name Sutaria, Samir
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Jan 25th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083677579 NPPES
New Jersey MEDICAID 0076538

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