Organization
COMPREHENSIVE MEDICAL ASSIST P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BORIS A KHAIMOV D.O. (PHYSICIAN)
(516) 654-5551
Entity
Organization
Contact information
Practice address
5 RUDYARD DR, MANALAPAN, NJ 07726-3768
(732) 479-2764
(732) 313-7722
Mailing address
PO BOX 747460, REGO PARK, NY 11374-7460
(516) 441-7625
(516) 441-7625
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MB09860800
NJ
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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