Emg Medical Professional Corporation
NPI #1396252318 in Hackensack, New Jersey
Provider Information
- NPI Number
- 1396252318
- Entity Type
- Organization
- Organization Name
- Emg Medical Professional Corporation
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Dec 30, 2017
- Last Updated
- Nov 29, 2018
Practice Location
- Address
- 329 MAIN ST
- City
- Hackensack
- State
- New Jersey
- ZIP Code
- 07601-5804
- Phone
- (201) 762-6050
Authorized Official
- Name
- BEVERLY J DAVISON, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (516) 297-4714
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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