Organization
COMPREHENSIVE NEUROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAO S. PASUPULETI MD (PRESIDENT/OWNER)
(609) 585-2666
Entity
Organization
Contact information
Practice address
1245 WHITEHORSE MERCERVILLE RD, SUITE 415, TRENTON, NJ 08619-3831
(609) 585-2666
(609) 581-9282
Mailing address
1245 WHITEHORSE MERCERVILLE RD, SUITE 415, TRENTON, NJ 08619-3831
(609) 585-2666
(609) 581-7901
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA04107600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035319
—
NJ
01
—
082058AKH
MEDICARE
NJ
05
—
139910
—
NJ
01
—
511110DAP
MEDICARE
NJ
Enumeration date
03/16/2010
Last updated
08/30/2010
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