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Individual

DR. ALPH JO EMMANUEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
140 SHERMAN ST FL 2, FAIRFIELD, CT 06824-5849
(860) 840-1819
Mailing address
27 BROOKSIDE AVE, LIVINGSTON, NJ 07039-4006
(860) 840-1819

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA10824500
NJ
208600000X
Surgery Physician
313539
NY
208600000X
Surgery Physician
Primary
56655
CT

Other

Enumeration date
07/01/2011
Last updated
09/19/2025
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