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
Fax: (201) 868-3235
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891741344 NPPES
New Jersey MEDICAID 1841009-01
New Jersey Other MA40316

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