Organization
GREGG A PEARSON DO PC
Active
Other names
WATERFORD FAMILY PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGG A PEARSON DO (OWNER)
(609) 561-5900
Entity
Organization
Contact information
Practice address
369 SOUTH WHITE HORSE PIKE, WATERFORD WORKS, NJ 08089-0849
(609) 561-5900
(609) 561-8989
Mailing address
369 S WHITE HORSE PIKE, WATERFORD WORKS, NJ 08089-0849
(609) 561-5900
(609) 561-8989
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
MB72474
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155351000
KEYSTONE
NJ
01
—
2158351001
AMERIHEALTH
NJ
05
—
8538808
—
NJ
Enumeration date
07/13/2007
Last updated
07/13/2007
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