Healthcare Provider Details

I. General information

NPI: 1285566869
Provider Name (Legal Business Name): EMBOMD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 FORRESTAL RD S STE 105
PRINCETON NJ
08540-6666
US

IV. Provider business mailing address

186 TAMARACK CIR FL 2
SKILLMAN NJ
08558-2021
US

V. Phone/Fax

Practice location:
  • Phone: 609-225-4743
  • Fax: 918-309-2914
Mailing address:
  • Phone: 609-225-4743
  • Fax: 918-309-2914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: SETH STEIN
Title or Position: OWNER-OPERATOR
Credential: MD
Phone: 609-225-4743