Individual
SANDRA J GRECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
279 3RD AVE, SUITE 307, LONG BRANCH, NJ 07740-6205
(732) 571-0972
(732) 571-0748
Mailing address
279 3RD AVE, SUITE 307, LONG BRANCH, NJ 07740-6205
(732) 571-0972
(732) 571-0748
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA07003900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8808007
—
NJ
Enumeration date
04/17/2006
Last updated
05/31/2022
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