Individual
MR. GARY GREENBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
175 MADISON AVE, MOUNT HOLLY, NJ 08060-2038
(609) 261-7046
(609) 914-6067
Mailing address
16 QUINCY MANOR LN, BURLINGTON, NJ 08016-5116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00033100
NJ
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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