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Individual

MR. GREGORY J MENIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 PLAZA CT, C, EAST STROUDSBURG, PA 18301
(570) 421-7020
(570) 421-7091
Mailing address
600 PLAZA CT, C, EAST STROUDSBURG, PA 18301
(570) 421-7020
(570) 421-7091

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD036469E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012105210002
PA
Enumeration date
06/24/2005
Last updated
12/29/2016
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