Organization
GARDEN STATE UROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONICA ROSCOE (MANAGER)
(973) 240-2181
Entity
Organization
Contact information
Practice address
16 EDEN LN, WHIPPANY, NJ 07981-1402
(973) 240-2181
(973) 947-9064
Mailing address
PO BOX 912, WHIPPANY, NJ 07981-0912
(973) 240-2181
(973) 947-9064
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
07/09/2008
Last updated
10/10/2023
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