Organization
GREUNER MEDICAL OF NJ PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GREUNER MD (OWNER/PRESIDENT)
(888) 286-6600
Entity
Organization
Contact information
Practice address
555 PASSAIC AVE, WEST CALDWELL, NJ 07006-7475
(888) 286-6600
(800) 565-9415
Mailing address
PO BOX 28200, LOCKBOX ACCT NJ, NEW YORK, NY 10087-8200
(888) 286-6600
(800) 565-9415
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
208600000X
Surgery Physician
Primary
25MA08845600
NJ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA08845600
LICENSE
NJ
Enumeration date
03/30/2012
Last updated
11/08/2017
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