Organization
GARDEN STATE PRIMARY CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUDASSAR SHARIF M.D. (PRESIDENT)
(973) 868-1494
Entity
Organization
Contact information
Practice address
711 KEARNY AVE, KEARNY, NJ 07032-3003
(973) 868-1494
Mailing address
711 KEARNY AVE, KEARNY, NJ 07032-3003
(973) 868-1494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/02/2007
Last updated
08/22/2020
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