Provider Demographics
NPI:1942273032
Name:COMPREHENSIVE MEDICAL ASSOC
Entity Type:Organization
Organization Name:COMPREHENSIVE MEDICAL ASSOC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAURO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-971-1711
Mailing Address - Street 1:PO BOX 340
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08005
Mailing Address - Country:US
Mailing Address - Phone:609-971-1711
Mailing Address - Fax:609-971-3390
Practice Address - Street 1:411 RT 9
Practice Address - Street 2:STE 6 COMPREHENSIVE MEDICAL
Practice Address - City:LANOKA HARBOR
Practice Address - State:NJ
Practice Address - Zip Code:08734
Practice Address - Country:US
Practice Address - Phone:609-971-1711
Practice Address - Fax:609-971-3390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty