Organization
GARDEN STATE HEALTHCARE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK SPEKTOR D.O. (SOLE OWNER)
(201) 858-7111
Entity
Organization
Contact information
Practice address
29 E 29TH ST, BAYONNE, NJ 07002-4654
(844) 242-7436
(201) 603-6677
Mailing address
308 WILLOW AVENUE, HOBOKEN, NJ 07030-4654
(201) 821-8717
(201) 603-6688
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
2085B0100X
Body Imaging Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0240231
—
NJ
Enumeration date
07/01/2009
Last updated
01/30/2024
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