Provider Demographics
NPI:1679825871
Name:COMPREHENSIVE GERIATRICS INC
Entity Type:Organization
Organization Name:COMPREHENSIVE GERIATRICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAREEN
Authorized Official - Middle Name:T
Authorized Official - Last Name:SYED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-661-9120
Mailing Address - Street 1:629 AMBOY AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08837-3579
Mailing Address - Country:US
Mailing Address - Phone:732-661-9120
Mailing Address - Fax:732-661-9150
Practice Address - Street 1:629 AMBOY AVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837-3579
Practice Address - Country:US
Practice Address - Phone:732-661-9120
Practice Address - Fax:732-661-9150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-11
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08577100207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Single Specialty