Healthcare Provider Details

I. General information

NPI: 1073784716
Provider Name (Legal Business Name): EMERGIMED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2008
Last Update Date: 06/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

663 PALISADE AVE
CLIFFSIDE PARK NJ
07010-3012
US

IV. Provider business mailing address

663 PALISADE AVE
CLIFFSIDE PARK NJ
07010-3012
US

V. Phone/Fax

Practice location:
  • Phone: 201-945-6500
  • Fax: 201-945-1157
Mailing address:
  • Phone: 201-945-6500
  • Fax: 201-945-1157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State

VIII. Authorized Official

Name: MRS. SANDRA QUATTRO
Title or Position: BILLING MANAGER
Credential:
Phone: 201-917-2246