GARDEN STATE I D LLC

EDISON, NJ
NPI1619403862
Entity TypeOrganization
Authorized ContactARUNA SREE
M.D.
908-249-9512
Organization Subpart ?No
Primary Taxonomy405300000X Prevention Professional
(Licence: NJ  25MA08871700)
Enumeration Date2017-05-10
Last Update Date2017-05-10
Business Address
GARDEN STATE I D LLC
36 HUNTINGTON RD
EDISON, NJ 08820-3108
Phone number: 646-660-5696
Mailing Address
GARDEN STATE I D LLC
36 HUNTINGTON ROAD
ED, NJ 08820
Phone number: 646-660-5696