| Garden State Physicians | |
|
1002 Amboy Ave. Edison NJ 08837 | |
| (732) 274-1274 | |
| (732) 355-0321 |
| Full Name | Garden State Physicians |
|---|---|
| Speciality | Internal Medicine |
| Location | 1002 Amboy Ave., Edison, New Jersey |
| Authorized Official Name and Position | Sonia Deora (PHYSICIAN/OWNER) |
| Authorized Official Contact | 7322741274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Garden State Physicians 1002 Amboy Ave. Edison NJ 08837 Ph: (732) 274-1274 | Garden State Physicians 1002 Amboy Ave. Edison NJ 08837 Ph: (732) 274-1274 |
| NPI Number | 1851601330 |
|---|---|
| Provider Enumeration Date | 10/18/2010 |
| Last Update Date | 04/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851601330 | NPI | - | NPPES |
| 0189057 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB06893200 (New Jersey) | Secondary |
| 207R00000X | Internal Medicine | 25MA06750500 (New Jersey) | Primary |
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