Individual
JORDAN MICHAEL GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
865 STONE ST, RAHWAY, NJ 07065-2742
(732) 680-7911
Mailing address
3 CENTURY DR, PARSIPPANY, NJ 07054-4610
(732) 680-7911
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00398200
NJ
Other
Enumeration date
06/21/2016
Last updated
04/18/2017
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