Organization
EMC HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIPPE THOMAS (CHIEF OF OPERATIONS)
(347) 645-5468
Entity
Organization
Contact information
Practice address
24 ASHBURN RD, WAYNE, NJ 07470
(917) 921-2913
(973) 341-6114
Mailing address
P.O. BOX 3176, WAYNE, NJ 07470
(917) 921-2913
(973) 341-6114
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB07387100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01655792
—
NY
01
—
25MB07387100
MEDICAL LICENSE
NJ
01
—
438561
MEDICARE ID
NY
Enumeration date
07/18/2014
Last updated
02/16/2015
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