Individual
MR. TODD LANE EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
INDEPENDENT DUTY HS
Contact information
Practice address
1 MUNRO AVE, CAPE MAY, NJ 08204-5000
(609) 898-6860
(609) 898-6962
Mailing address
1 MUNRO AVE, CAPE MAY, NJ 08204-5000
(609) 898-6860
(609) 898-6962
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
12/19/2005
Last updated
10/27/2009
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