Individual
THOMAS VINCENT GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 BAY AVE, SUITE 201, SOMERS POINT, NJ 08244-2553
(609) 927-3828
(609) 926-8067
Mailing address
201 ARBOR CT E, LINWOOD, NJ 08221-2152
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA02700900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0075695000
AMERIHEALTH
NJ
05
—
1816900
—
NJ
01
—
904401
UNITED
—
Enumeration date
09/24/2006
Last updated
07/08/2007
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