Provider Demographics
NPI:1841597762
Name:COMPREHENSIVE NEUROLOGY SERVICES LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE NEUROLOGY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAHLIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:IRBY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-875-3565
Mailing Address - Street 1:PO BOX 8887
Mailing Address - Street 2:
Mailing Address - City:TURNERSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-8887
Mailing Address - Country:US
Mailing Address - Phone:856-875-3565
Mailing Address - Fax:856-375-3591
Practice Address - Street 1:188 FRIES MILL RD
Practice Address - Street 2:SUITE N-3
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-2015
Practice Address - Country:US
Practice Address - Phone:856-875-3565
Practice Address - Fax:856-875-3591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-14
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA0741022084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty