Individual
GREGORY GERARD FEDORCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 INDUSTRIAL WAY W, EATONTOWN, NJ 07724
(732) 542-4477
(732) 935-0355
Mailing address
2 INDUSTRIAL WAY W, EATONTOWN, NJ 07724
(732) 542-4477
(732) 935-0355
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
25MA07770000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103667
—
NJ
Enumeration date
03/02/2006
Last updated
07/08/2007
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