Individual provider · Type 1 NPI

Gregory Stephen Suralik, MD

Student in an Organized Health Care Education/Training Program · Cambridge, MA

NPI number 1366292088 Active

Practice location

330 Mount Auburn St
Cambridge, MA 02138-5597

Mailing address

31 Wareham St Unit 1REAR
Medford, MA 02155-6289

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X3016421 (MA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1366292088

Gregory Stephen Suralik, MD's National Provider Identifier is 1366292088, issued on Mar 25, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cambridge, MA. The record was last updated on Jun 6, 2024.