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Ali R. Surahio
Adult Mental Health Clinic/Center in Watchung, New Jersey
NPI 1255868956

Ali R. Surahio is an Adult Mental Health Clinic/Center based in Linden, NJ and is specialized in Adult Mental Health. Ali R. Surahio practices in Watchung, NJ. The NPI Number for Ali R. Surahio is 1255868956 and holds a License No. 25MA09574700 (New Jersey).

The current practice location address for Ali R. Surahio is 10 Shawnee Dr, Watchung, NJ and can be reached out via phone at 917-932-3433.

Location: 10 Shawnee Dr, Watchung, NJ, 07036-4376
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255868956
Provider Name
Ali R. Surahio
Credential
Provider Entity Type
Organization
Address
10 Shawnee Dr, Watchung, NJ, 07036-4376
Phone Number
917-932-3433
Fax Number
Provider Enumeration Date
05/12/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10 Shawnee Dr
City
Watchung
State
New Jersey
Zip
07069-5803
Phone Number
917-932-3433
Fax Number
person
Provider Business Mailing Address Details
Address
10 Shawnee Dr
City
Watchung
State
New Jersey
Zip
07069-5803
Phone Number
917-932-3433
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
25MA09574700 (New Jersey)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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