| NPI | 1235317967 |
|---|---|
| Doing Business As | GARDEN STATE FAMILY CARE |
| Entity Type | Organization |
| Authorized Contact | TATIANA MOURAVSKAIA Member 973-821-3640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-02-05 |