Organization
COMPLETE DIAGNOSTIC AND MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER ZAITSEV MD (MANAGING MEMBER)
(877) 890-9906
Entity
Organization
Contact information
Practice address
126 STATE ST, HACKENSACK, NJ 07601-5448
(877) 890-9906
Mailing address
126 STATE ST, HACKENSACK, NJ 07601-5448
(877) 890-9906
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
06/09/2023
Last updated
10/19/2023
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