Doctor Name: | DR. ARVIND SURI |
NPI Number: | 1780856252 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 046377 |
Business Practice Address: | 133 Scovill St Suite 101 Waterbury, CT - 067061127 |
Business Phone Number: | 2037095680 |
Business Fax Number: | 2037095688 |
Mailing Address: | 90 Park Place Cir, WEST HARTFORD |
State: | CT |
Postal Code: | 061101426 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/25/2008 |
NPI Last Update Date: | 04/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 046377 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |