Individual
DR. EMMANUEL MADUABUCHI EMELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 UNION AVE, IRVINGTON, NJ 07111-3277
(973) 374-3544
(973) 374-3554
Mailing address
40 UNION AVE, IRVINGTON, NJ 07111-3290
(973) 374-3544
(973) 374-3554
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA05990500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6311601
—
NJ
Enumeration date
11/15/2005
Last updated
12/13/2011
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