Provider Demographics
NPI:1962734087
Name:COMPREHENSIVE SURGICAL CARE, LLC
Entity type:Organization
Organization Name:COMPREHENSIVE SURGICAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HUNG
Authorized Official - Middle Name:Q
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-888-9400
Mailing Address - Street 1:1 BETHANY RD
Mailing Address - Street 2:BUILDING 6 SUITE 91
Mailing Address - City:HAZLET
Mailing Address - State:NJ
Mailing Address - Zip Code:07730-1663
Mailing Address - Country:US
Mailing Address - Phone:732-888-9400
Mailing Address - Fax:732-888-0498
Practice Address - Street 1:1 BETHANY RD
Practice Address - Street 2:BUILDING 6 SUITE 91
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-1663
Practice Address - Country:US
Practice Address - Phone:732-888-9400
Practice Address - Fax:732-888-0498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-01
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty