Individual
JUSTIN BARTOLO GREGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 CHRISTOPHER COLUMBUS DR, A3, JERSEY CITY, NJ 07302-3483
(201) 320-0498
Mailing address
200 CHRISTOPHER COLUMBUS DR, A3, JERSEY CITY, NJ 07302-3483
(201) 320-0498
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013018
NY
Other
Enumeration date
11/21/2008
Last updated
11/21/2008
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