Organization
GARDEN STATE SPECIALTY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYEZA MOHSIN (MEDICAL DIRECTOR)
(609) 796-2119
Entity
Organization
Contact information
Practice address
1418 NEW RD STE 2, NORTHFIELD, NJ 08225-1179
(609) 796-7969
Mailing address
1418 NEW RD STE 2, NORTHFIELD, NJ 08225-1179
(609) 642-2663
(609) 642-2663
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
02/22/2024
Last updated
07/02/2025
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