MEDICARE: EMMANUEL OSY EROMOSELE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	342000000X	Transportation Network Company		NJ

General Provider Information

NPI Number	:	1235067810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMANUEL OSY EROMOSELE

Provider Business Mailing Address
First Line	:	365 E GRAND AVE APT 11
Second Line	:
City	:	RAHWAY
State	:	NJ
Zip	:	07065-4551
Country	:	US
Telephone Number	:	862-800-8103
Fax Number	:

Provider Business Practice Location Address
First Line	:	365 E GRAND AVE APT 11
Second Line	:
City	:	RAHWAY
State	:	NJ
Zip	:	07065-4551
Country	:	US
Telephone Number	:	862-800-8103
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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Directions to “ EMMANUEL OSY EROMOSELE ” Practice Location

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