Organization
COMPREHENSIVE MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONYA GOODRICH (BILLER)
(973) 374-1080
Entity
Organization
Contact information
Practice address
1200 CLINTON AVE, SUITE 140, IRVINGTON, NJ 07111-2070
(973) 374-1080
(973) 373-1726
Mailing address
1200 CLINTON AVE, SUITE 140, IRVINGTON, NJ 07111-2070
(973) 374-1080
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN09682500
NJ
Other
Enumeration date
12/03/2014
Last updated
03/23/2016
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