# GARDEN STATE SURGICAL ASSOCIATES, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881633790
- **Authorized official:** DR. DAVID M RICHMAND M.D. (PRESIDENT)
- **Authorized official phone:** (908) 561-9500

## Contact information

- **Practice address:** 1511 PARK AVE, SOUTH PLAINFIELD, NJ 07080-5516
- **Practice address phone:** (908) 561-9500
- **Practice address fax:** (908) 561-7162
- **Mailing address:** 1511 PARK AVE, SOUTH PLAINFIELD, NJ 07080-5516
- **Mailing address phone:** (908) 561-9500
- **Mailing address fax:** (908) 561-7162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/06/2006
- **Last updated:** 02/21/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0197712000 | AMERIHEALTH | NJ |