Individual
DR. GREGG MICHAEL QUACKENBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
350 W SAINT GEORGES AVE, LINDEN, NJ 07036-5663
(908) 925-6797
Mailing address
113 HAMILTON AVE, LEONARDO, NJ 07737-1121
(732) 320-2251
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02194900
NJ
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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