Organization
EVERGREEN EMERGENCY SOLUTIONS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN R SCOTT MD (PRESIDENT)
(919) 425-1565
Entity
Organization
Contact information
Practice address
1 BAY AVE, EVERGREEN EMERGENCY SOLUTIONS, PC, MONTCLAIR, NJ 07042-4837
(973) 429-6000
(919) 425-0478
Mailing address
3114 CROASDAILE DR, SUITE 200, DURHAM, NC 27705-2508
(919) 425-1565
(919) 425-0478
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
NJ
207U00000X
Nuclear Medicine Physician
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0036552
—
NJ
Enumeration date
01/03/2006
Last updated
11/20/2009
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