Organization
EMMANUEL EMELLE, MD. PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL M EMELLE M.D (PRESIDENT)
(973) 374-3544
Entity
Organization
Contact information
Practice address
40 UNION AVE STE 306, IRVINGTON, NJ 07111-3290
(973) 374-3544
(973) 374-3554
Mailing address
40 UNION AVE STE 306, IRVINGTON, NJ 07111-3290
(973) 374-3544
(973) 374-3554
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MA05990500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6311601
—
NJ
Enumeration date
04/18/2007
Last updated
08/22/2020
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