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Organization
KEIRON GREAVES, MD PC
Active
Organization
KEIRON GREAVES, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEIRON W GREAVES MD (AUTHORIZED OFFICIAL)
(732) 918-8312
Entity
Organization
Contact information
Practice address
317 ROUTE 34 STE 323, COLTS NECK, NJ 07722-2446
(732) 918-8312
Mailing address
PO BOX 24230, SUITE 203, NEWARK, NJ 07101
(732) 918-8312
(914) 591-8362
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
06/18/2009
Last updated
03/11/2010
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