Basic Information
| Provider Information | |||||||||
| NPI: | 1346405461 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | COMO | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | E | ||||||||
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| Mailing Information | |||||||||
| Address1: | 25 HIGH ST | ||||||||
| Address2: | SUITE 3 | ||||||||
| City: | NUTLEY | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 071101131 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9738959925 | ||||||||
| FaxNumber: | 9738959927 | ||||||||
| Practice Location | |||||||||
| Address1: | 2 EMERY AVE | ||||||||
| Address2: | SUITE 3 | ||||||||
| City: | RANDOLPH | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 078691368 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9738959925 | ||||||||
| FaxNumber: | 9738959927 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/29/2008 | ||||||||
| LastUpdateDate: | 01/23/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2251X0800X | 40QA00873800 | NJ | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic |
No ID Information.