Individual
EMANUEL MARTIN MAIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
209 S LIVINGSTON AVE, STE 7, LIVINGSTON, NJ 07039-4042
(973) 535-6266
(973) 535-2810
Mailing address
209 S LIVINGSTON AVE, STE 7, LIVINGSTON, NJ 07039-4042
(973) 535-6266
(973) 535-2810
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA04942800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00294733
RAILROAD MEDICARE
NJ
Enumeration date
05/31/2005
Last updated
10/22/2007
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