Provider Demographics
NPI:1124593231
Name:COMPREHENSIVE GERIATRIC MEDICINE
Entity Type:Organization
Organization Name:COMPREHENSIVE GERIATRIC MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FIRAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:SAIDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:484-451-4374
Mailing Address - Street 1:26 PRIMROSE LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-5441
Mailing Address - Country:US
Mailing Address - Phone:484-451-4374
Mailing Address - Fax:884-848-6138
Practice Address - Street 1:26 PRIMROSE LN
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-5441
Practice Address - Country:US
Practice Address - Phone:484-451-4374
Practice Address - Fax:884-848-6138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-05
Last Update Date:2018-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Single Specialty