Provider Demographics
NPI:1730569765
Name:COMPLETE MEDICAL & SKIN CARE, LLC
Entity type:Organization
Organization Name:COMPLETE MEDICAL & SKIN CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMEBER
Authorized Official - Prefix:
Authorized Official - First Name:ZAHID
Authorized Official - Middle Name:
Authorized Official - Last Name:ASLAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-427-0600
Mailing Address - Street 1:245 DIAMOND BRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07506-1984
Mailing Address - Country:US
Mailing Address - Phone:973-427-0600
Mailing Address - Fax:973-427-0604
Practice Address - Street 1:245 DIAMOND BRIDGE AVE
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NJ
Practice Address - Zip Code:07506-1984
Practice Address - Country:US
Practice Address - Phone:973-427-0600
Practice Address - Fax:973-427-0604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty