Organization
GARDEN STATE PHYSICIAN ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO GONZALEZ MD (PRESIDENT)
(800) 288-8325
Entity
Organization
Contact information
Practice address
1505 W SHERMAN AVE, VINELAND, NJ 08360-7059
(856) 641-8000
Mailing address
66 W GILBERT ST, TINTON FALLS, NJ 07701-4947
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
02/09/2024
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