Organization
GARDEN STATE FAMILY CARE ASSOCIATES LLC
Active
Other names
Garden State Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TATIANA MOURAVSKAIA M.D. (MEMBER)
(973) 821-3640
Entity
Organization
Contact information
Practice address
511 S ORANGE AVE, SOUTH ORANGE, NJ 07079-2636
(973) 821-3640
(973) 821-3651
Mailing address
511 S ORANGE AVE, SOUTH ORANGE, NJ 07079-2636
(973) 821-3640
(973) 821-3651
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NJ
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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