Garden State Family Care Associates LLC

NPI #1235317967 in South Orange, New Jersey

Provider Information

NPI Number: 1235317967
Entity Type: Organization
Organization Name: Garden State Family Care Associates LLC
Primary Specialty: Internal Medicine
Enumeration Date: Feb 5, 2008
Last Updated: Feb 5, 2008

Practice Location

Address: 511 S ORANGE AVE
City: South Orange
State: New Jersey
ZIP Code: 07079-2636
Phone: (973) 821-3640

Authorized Official

Name: DR. TATIANA MOURAVSKAIA, M.D.
Title: MEMBER
Phone: (973) 821-3640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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