Organization
GARDEN STATE MEDICAL AND SURGICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES LEE M.D. (PRESIDENT)
(201) 461-6666
Entity
Organization
Contact information
Practice address
1608 LEMOINE AVE, SUITE 201, FORT LEE, NJ 07024-5622
(201) 461-6666
(201) 461-7429
Mailing address
1608 LEMOINE AVE, SUITE 201, FORT LEE, NJ 07024-5622
(201) 461-6666
(201) 461-7429
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA05840700
NJ
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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