Organization
GARDEN STATE I D LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARUNA SREE M.D. (M.D.)
(908) 249-9512
Entity
Organization
Contact information
Practice address
36 HUNTINGTON RD, EDISON, NJ 08820-3108
(646) 660-5696
Mailing address
36 HUNTINGTON ROAD, ED, NJ 08820
(646) 660-5696
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
25MA08871700
NJ
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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