Emelle, Emmanuel Maduabuchi
Emelle, Emmanuel Maduabuchi is an sole proprietor health care provider with primary practice located at 40 Union Ave , Irvington NJ 07111-3277. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Emelle, Emmanuel Maduabuchi can be contacted via phone (973) 374-3544.Contact Information
Primary practice address
40 Union Ave
Irvington NJ 07111-3277
Phone: (973) 374-3544
Fax: (973) 374-3554
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA05990500 | New Jersey |
Profile Details
| NPI number | 1558343756 |
|---|---|
| LBN Legal business name | Emelle, Emmanuel Maduabuchi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Dec 13th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558343756 | NPPES |
| New Jersey | MEDICAID | 6311601 |
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