Individual
MR. JOSEPH A GRECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
95 EAST AVE, LEWISTON, ME 04240
(207) 783-4714
(207) 783-6588
Mailing address
95 EAST AVE, LEWISTON, ME 04240
(207) 783-4714
(207) 783-6588
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
POD193
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002527
ANTHEM BC/BS
ME
05
—
118360000
—
ME
01
—
1538346564
MEDICARE GROUP NPI
ME
01
—
480025851
RAILROAD MEDICARE
ME
Enumeration date
09/15/2006
Last updated
02/11/2009
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