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Individual

DR. GREGG R FOOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
776 SHREWSBURY AVE, SUITE 201, TINTON FALLS, NJ 07724-3006
(732) 530-4949
(732) 530-3618
Mailing address
776 SHREWSBURY AVE, SUITE 201, TINTON FALLS, NJ 07724-3006
(732) 530-4949
(732) 212-1171

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MA58891
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1295733
UNITED HEALTHCARE
NJ
01
200026581
RR MEDICARE
NJ
01
310212600
US DEPT OF LABOR
NJ
05
3222403
NJ
05
6962009
NJ
01
932288
PHS/GUARDIAN
NJ
01
973769
AETNA
NJ
01
CC3884
RR MEDICARE GRP#
NJ
01
J29976
HEALTHNET
NJ
01
P888554
OXFORD
NJ
Enumeration date
12/29/2005
Last updated
03/13/2013
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