Provider Demographics
NPI:1710539739
Name:EMJOSH HEALTH INC
Entity Type:Organization
Organization Name:EMJOSH HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADEDOYIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ADETORO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-634-6582
Mailing Address - Street 1:580 OFFICE PKWY
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-8644
Mailing Address - Country:US
Mailing Address - Phone:973-634-6582
Mailing Address - Fax:614-467-3935
Practice Address - Street 1:580 OFFICE PKWY STE 101
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-8644
Practice Address - Country:US
Practice Address - Phone:973-634-6582
Practice Address - Fax:614-467-3935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-10
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty