Organization
EXECUTIVE MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE LOPEZ (PRESIDENT)
(201) 845-6433
Entity
Organization
Contact information
Practice address
99 CHAMBERLAIN AVE, ELMWOOD PARK, NJ 07407-1411
(201) 230-9594
(201) 845-6435
Mailing address
99 CHAMBERLAIN AVE, ELMWOOD PARK, NJ 07407-1411
(201) 230-9594
(201) 845-6435
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
NJ
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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