Organization
COMPREHENSIVE HEALTH CARE OF NEW JERSEY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHESH BIKKINA M.D. (PRESIDENT)
(201) 475-5050
Entity
Organization
Contact information
Practice address
22-18 BROADWAY, FAIR LAWN, NJ 07410-3016
(201) 475-5050
(201) 475-8145
Mailing address
22-18 BROADWAY, FAIR LAWN, NJ 07410-3016
(201) 475-5050
(201) 475-8145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2010
Last updated
03/24/2011
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