Individual
DR. EMANUEL CORBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
443 E WESTFIELD AVE, ROSELLE PARK, NJ 07204-2428
(908) 245-2442
Mailing address
509 PINE HILL RD, LEONIA, NJ 07605-1421
(201) 363-1256
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA05499700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4526007
—
NJ
Enumeration date
09/30/2006
Last updated
07/08/2007
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