Provider Demographics
NPI:1871064600
Name:DR EMILI RAMBUS LLC
Entity type:Organization
Organization Name:DR EMILI RAMBUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILI
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMBUS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:908-577-6968
Mailing Address - Street 1:31 E HIGH ST
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-2302
Mailing Address - Country:US
Mailing Address - Phone:908-577-6968
Mailing Address - Fax:
Practice Address - Street 1:31 E HIGH ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876-2302
Practice Address - Country:US
Practice Address - Phone:908-577-6968
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-05
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1659438729OtherNPI