Organization
GARDEN STATE SPECIALTY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MILLER (DIRECTOR OF RCM)
(248) 331-7908
Entity
Organization
Contact information
Practice address
1418 NEW RD STE 2, NORTHFIELD, NJ 08225-1179
(609) 796-2119
Mailing address
PO BOX 7412514, CHICAGO, IL 60674-2514
(248) 607-0037
(734) 462-0344
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RI0200X
Infectious Disease Physician
25MB05436700
NJ
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
04/14/2017
Last updated
03/19/2026
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