Organization
GARDEN STATE INFUSIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUTARO SANFILIPPO (DIRECTOR)
(551) 697-3297
Entity
Organization
Contact information
Practice address
6040 KENNEDY BLVD E APT 3F, WEST NEW YORK, NJ 07093-3805
(551) 697-3297
Mailing address
6040 KENNEDY BLVD E APT 3F, WEST NEW YORK, NJ 07093-3805
(551) 697-3297
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2021
Last updated
04/20/2021
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