Organization
EMMANUEL HRISO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL HRISO MD (OWNER)
(201) 436-4080
Entity
Organization
Contact information
Practice address
54 MAIN ST, WOODBRIDGE, NJ 07095-2816
(732) 855-1199
(732) 855-1138
Mailing address
380 MOUNTAIN RD APT 1003, UNION CITY, NJ 07087-7306
(201) 436-4080
(201) 436-1601
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4521501
—
NJ
Enumeration date
07/29/2006
Last updated
08/22/2020
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