Organization
COMSTI MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA VIRGINIA COMSTI M.D. (MEDICAL DOCTOR)
(732) 890-4895
Entity
Organization
Contact information
Practice address
444 NEPTUNE BLVD, BUILDING B, SUITE 2, NEPTUNE, NJ 07753-4144
(732) 774-0436
Mailing address
444 NEPTUNE BLVD, BUILDING B, SUITE 2, NEPTUNE, NJ 07753-4144
(732) 774-0436
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06813500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7823100
—
NJ
Enumeration date
03/20/2014
Last updated
03/25/2014
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