Organization Name: | COMPREHENSIVE HEALTH SERVICES |
NPI Number: | 1346533890 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STUART CLARK (EXECUTIVE VP) |
Mailing Address: | 600 Harborside Financial Center Plaza 2 Floor 2 Jersey City |
State: | NJ US |
Postal Code: | 07311 |
Phone Number: | 2018306168 |
Fax Number: | |
NPI Enumeration Date: | 05/17/2011 |
NPI Last Update Date: | 05/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |