Organization
EMG MEDICAL PROFESSIONAL CORPORATION
Active
Organization
EMG MEDICAL PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY J DAVISON MD (MEDICAL DIRECTOR)
(516) 297-4714
Entity
Organization
Contact information
Practice address
329 MAIN ST, HACKENSACK, NJ 07601-5804
(201) 762-6050
(201) 762-6050
Mailing address
329 MAIN ST, HACKENSACK, NJ 07601-5804
(201) 762-6050
(201) 762-6050
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/30/2017
Last updated
11/29/2018
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