Organization
NES MICHIGAN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MOORE (CEO)
(415) 435-4591
Entity
Organization
Contact information
Practice address
5800 RIDGE AVE, PHILADELPHIA, PA 19128-1737
(215) 483-9900
Mailing address
PO BOX 31110, BELFAST, ME 04915-0140
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
12/01/2017
Last updated
05/05/2023
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