Organization
JOHN S GRECO JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN S GRECO JR. MD (MD PRESIDENT)
(732) 741-7997
Entity
Organization
Contact information
Practice address
130 MAPLE AVE BLDG 4, JOHN S GRECO JR MD PA, RED BANK, NJ 07701-1734
(732) 741-7997
(732) 741-8746
Mailing address
PO BOX 7400, JOHN S GRECO JR MD PA, SHREWSBURY, NJ 07702-7400
(732) 741-7997
(732) 741-8746
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA05895200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5994209
—
NJ
Enumeration date
08/14/2006
Last updated
04/20/2011
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