Individual
DR. GREGG MATTHEW SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
579A CRANBURY RD, EAST BRUNSWICK, NJ 08816-5426
(732) 390-0040
(732) 390-1856
Mailing address
579A CRANBURY RD, EAST BRUNSWICK, NJ 08816-5426
(732) 390-0040
(732) 390-1856
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
25MA08546900
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
25MA08546900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0205729
—
NJ
Enumeration date
11/13/2008
Last updated
11/25/2014
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