| Comprehensive Family Medical Llc | |
|
100 Craig Rd Ste 110 Manalapan NJ 07726-8731 | |
| (732) 414-6506 | |
| (732) 414-6507 |
| Full Name | Comprehensive Family Medical Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Craig Rd Ste 110, Manalapan, New Jersey |
| Authorized Official Name and Position | Maryana Tselniker (OWNER/PROVIDER) |
| Authorized Official Contact | 9175891421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Family Medical Llc 15 Diamond Blvd Robbinsville NJ 08691-3170 Ph: (732) 414-6506 | Comprehensive Family Medical Llc 100 Craig Rd Ste 110 Manalapan NJ 07726-8731 Ph: (732) 414-6506 |
| NPI Number | 1750926390 |
|---|---|
| Provider Enumeration Date | 11/07/2019 |
| Last Update Date | 02/02/2020 |
| Medicare PECOS PAC ID | 0648607333 |
|---|---|
| Medicare Enrollment ID | O20200218002502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750926390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Maryana Tselniker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871993154 PECOS PAC ID: 6608154885 Enrollment ID: I20161021001167 |
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