Provider Demographics
NPI:1073607321
Name:SURYA, GIRIJA S (MD)
Entity Type:Individual
Prefix:
First Name:GIRIJA
Middle Name:S
Last Name:SURYA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:670 N BEERS ST
Mailing Address - Street 2:BULIDING 2, SUITE 4
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-1516
Mailing Address - Country:US
Mailing Address - Phone:732-254-0500
Mailing Address - Fax:732-254-1558
Practice Address - Street 1:670 N BEERS ST
Practice Address - Street 2:BUILDING 2, SUITE 4
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1516
Practice Address - Country:US
Practice Address - Phone:732-254-0500
Practice Address - Fax:732-254-1558
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2015-03-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA03723200208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)