Rastogi, Surender M
Rastogi, Surender M is an sole proprietor health care provider with primary practice located at 8306 Kennedy Blvd , North Bergen NJ 07047-4264. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Rastogi, Surender M can be contacted via phone (201) 868-1333.Contact Information
Primary practice address
8306 Kennedy Blvd
North Bergen NJ 07047-4264
Phone: (201) 868-1333
Fax: (201) 868-3235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA04031600 | New Jersey |
Profile Details
| NPI number | 1891741344 |
|---|---|
| LBN Legal business name | Rastogi, Surender M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 26th, 2006 |
| Last updated | Oct 29th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891741344 | NPPES |
| New Jersey | MEDICAID | 1841009-01 | |
| New Jersey | Other | MA40316 |
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