Individual
WILLIAM ANTHONY EMANUELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1280 ALMONESSON ROAD, DEPTFORD, NJ 08096-5502
(856) 537-7060
(856) 805-9370
Mailing address
PO BOX 191, PROVIDER ENROLLMENT, ROCKLAND, DE 19732-0191
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
25MB09875400
NJ
208000000X
Pediatrics Physician
Primary
25MB09875400
NJ
208000000X
Pediatrics Physician
C20011742
DE
208000000X
Pediatrics Physician
OS016839
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103258115
—
PA
05
—
1159984-00
—
MD
Enumeration date
10/24/2013
Last updated
04/25/2017
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