Provider Demographics
NPI:1538565312
Name:EMES MEDICAL AND DIAGNOSTICS SOLUTION P.C.
Entity type:Organization
Organization Name:EMES MEDICAL AND DIAGNOSTICS SOLUTION P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:
Authorized Official - First Name:HANAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WAIZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:BILLER
Authorized Official - Phone:845-362-8100
Mailing Address - Street 1:190 MIDLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SADDLE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07663-6408
Mailing Address - Country:US
Mailing Address - Phone:973-685-7121
Mailing Address - Fax:973-246-7120
Practice Address - Street 1:190 MIDLAND AVE
Practice Address - Street 2:
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663-6408
Practice Address - Country:US
Practice Address - Phone:973-685-7121
Practice Address - Fax:973-246-7120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-06
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08170000208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty