Garden State Medical Center, LLC

NPI #1578807517 in Whiting, New Jersey

Provider Information

NPI Number: 1578807517
Entity Type: Organization
Organization Name: Garden State Medical Center, LLC
Primary Specialty: Specialist
Enumeration Date: Nov 15, 2012
Last Updated: Nov 15, 2012

Practice Location

Address: 1100 ROUTE 70
City: Whiting
State: New Jersey
ZIP Code: 08759-1003
Phone: (732) 849-0077

Authorized Official

Name: DHARAM MANN, M.D.
Title: PROVIDER
Phone: (732) 849-0077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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