| Emg Medical Professional Corporation | |
|
329 Main St Hackensack NJ 07601-5804 | |
| (201) 762-6050 | |
| (201) 762-6050 |
| Full Name | Emg Medical Professional Corporation |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 329 Main St, Hackensack, New Jersey |
| Authorized Official Name and Position | Beverly J Davison (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5162974714 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emg Medical Professional Corporation 329 Main St Hackensack NJ 07601-5804 Ph: (201) 762-6050 | Emg Medical Professional Corporation 329 Main St Hackensack NJ 07601-5804 Ph: (201) 762-6050 |
| NPI Number | 1396252318 |
|---|---|
| Provider Enumeration Date | 12/30/2017 |
| Last Update Date | 11/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396252318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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