Organization
COMPREHENSIVE FAMILY CARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA MARIE KOCH DO (PHYSICIAN)
(973) 777-2293
Entity
Organization
Contact information
Practice address
297 PASSAIC ST, GARFIELD, NJ 07026-1319
(973) 777-2293
(973) 777-9117
Mailing address
297 PASSAIC ST, GARFIELD, NJ 07026-1319
(973) 777-2293
(973) 777-9117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB069001
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9081101
—
NJ
Enumeration date
01/13/2012
Last updated
01/13/2012
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