Organization
COMPREHENSIVE HEALTH CARE OF NEW JERSEY,LLC
Active
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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