Provider Demographics
NPI:1558061259
Name:EMG AND CONCUSSION SPECIALISTS OF NJ
Entity Type:Organization
Organization Name:EMG AND CONCUSSION SPECIALISTS OF NJ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MIHAELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ENESCU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-766-3357
Mailing Address - Street 1:15 RED HAWK RD N
Mailing Address - Street 2:
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722-2013
Mailing Address - Country:US
Mailing Address - Phone:732-766-3357
Mailing Address - Fax:
Practice Address - Street 1:9 HOSPITAL DR STE B4
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-6425
Practice Address - Country:US
Practice Address - Phone:732-557-6330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty