NPI Profile for COMPREHENSIVE MEDICAL GROUP in WEST ORANGE, NJ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Radiology |
213ER0200X | 48 | Podiatry | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine |
| NPI # | 1518138692 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/17/2008 | |
| Last updated | 03/17/2008 - About 18 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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COMPREHENSIVE MEDICAL GROUP
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