| Doctor Name: | DR. JASON BARRY SUROW |
| NPI Number: | 1619968997 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MA49763 |
| Business Practice Address: | 690 Kinderkamack Rd Suite 101 Oradell, NJ - 076491524 |
| Business Phone Number: | 2017229850 |
| Business Fax Number: | 2017229851 |
| Mailing Address: | 560 White Plains Road, Suite 500-enta TARRYTOWN |
| State: | NY |
| Postal Code: | 105915112 |
| Phone Number: | 9149842534 |
| Fax Number: | 9142411176 |
| NPI Enumeration Date: | 11/04/2005 |
| NPI Last Update Date: | 10/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | MA49763 |
| 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. |