Individual
GREGORY ALAN BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
176 PALISADE AVE, JERSEY CITY, NJ 07306-1121
(856) 261-5165
Mailing address
1100 MAXWELL LN UNIT 616, HOBOKEN, NJ 07030-6889
(856) 261-5165
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA09863400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2012
Last updated
08/02/2016
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