Provider Demographics
NPI:1508071333
Name:COMPREHENSIVE HEALTH CENTER, LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE HEALTH CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:BHIRO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:609-693-8690
Mailing Address - Street 1:949 LACEY RD
Mailing Address - Street 2:SUITE C4
Mailing Address - City:FORKED RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08731-1013
Mailing Address - Country:US
Mailing Address - Phone:609-693-8690
Mailing Address - Fax:609-693-8691
Practice Address - Street 1:949 LACEY RD
Practice Address - Street 2:SUITE C4
Practice Address - City:FORKED RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08731-1013
Practice Address - Country:US
Practice Address - Phone:609-693-8690
Practice Address - Fax:609-693-8691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMBO64308207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG31884Medicare UPIN
NJ076223Medicare ID - Type Unspecified