Provider Demographics
NPI:1871294066
Name:CMPLSR LLC
Entity type:Organization
Organization Name:CMPLSR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN ASSISTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:NEERAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRY
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:631-745-4088
Mailing Address - Street 1:10700 CHARTER DR STE 330
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3695
Mailing Address - Country:US
Mailing Address - Phone:410-855-5821
Mailing Address - Fax:
Practice Address - Street 1:10700 CHARTER DR STE 330
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3695
Practice Address - Country:US
Practice Address - Phone:410-855-5821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty