Emg Medical Primary Care, LLC
Clinic/Center, Primary Care in Hackensack, NJ. Organization (NPI-2).
NPI number1982175352
StatusActive
Last updated in NPPESApr 18, 2022
Details
- NPI
- 1982175352
- Entity type
- Organization (NPI-2)
- Legal business name
- Emg Medical Primary Care, LLC
- Organization subpart
- No
- Enumeration date
- Dec 11, 2018
- Certification date
- Apr 18, 2022
- Last updated
- Apr 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
329 Main StHackensack, NJ 07601-5804
Phone 586-506-1996
Mailing address
329 Main StHackensack, NJ 07601-5804
Phone 586-506-1996
Authorized official
Beverly J Davison
Owner
5162974714
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