| Doctor Name: | DR. SURAJ ALVA |
| NPI Number: | 1588821292 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 25MA08232600 |
| Business Practice Address: | 3900 Park Ave Suite 101 Edison, NJ - 088203032 |
| Business Phone Number: | 7324946640 |
| Business Fax Number: | 7325498204 |
| Mailing Address: | Po Box 416457, BOSTON |
| State: | MA |
| Postal Code: | 022416457 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/20/2008 |
| NPI Last Update Date: | 02/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 25MA08232600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |