Provider Demographics
NPI:1881400679
Name:EMESON
Entity type:Organization
Organization Name:EMESON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:UWAOMA
Authorized Official - Middle Name:
Authorized Official - Last Name:EMEGHARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-265-8462
Mailing Address - Street 1:260 CONKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:HILLSIDE
Mailing Address - State:NJ
Mailing Address - Zip Code:07205-1447
Mailing Address - Country:US
Mailing Address - Phone:908-265-8462
Mailing Address - Fax:973-926-3883
Practice Address - Street 1:260 CONKLIN AVE
Practice Address - Street 2:
Practice Address - City:HILLSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07205-1447
Practice Address - Country:US
Practice Address - Phone:908-265-8462
Practice Address - Fax:973-926-3883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health