Organization
EMILE I. RANGEL, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILE IVAN RANGEL MD (MEDICAL DIRECTOR/PRESIDENT)
(201) 240-2707
Entity
Organization
Contact information
Practice address
6804 BERGENLINE AVENUE, NORTH BERGEN, NJ 07093-1826
(201) 240-2707
Mailing address
4501 PALISADE AVE., APT. 10B, UNION CITY, NJ 07087
(201) 240-2707
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MA066179
NJ
261QP2300X
Primary Care Clinic/Center
MA066179
NJ
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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