Individual
DR. JEFFREY M GRECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 S HICKORY ST, MT CARMEL, PA 17851
(570) 339-2160
(570) 339-4193
Mailing address
300 S HICKORY ST, MT CARMEL, PA 17851
(570) 339-2160
(570) 339-4193
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD032392E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010545990001
MED ASSIST
—
01
—
02325000
BLUE CROSS
PA
01
—
1464870
KEYSTONE
—
01
—
DA2400
RAILROAD MEDICARE
PA
05
—
MA01054599
—
PA
Enumeration date
10/24/2006
Last updated
02/24/2016
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