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Individual

MR. GARY GLENN GREGORIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BSPT

Contact information

Practice address
3 INDUSTRIAL WAY E, EATONTOWN, NJ 07724-3318
(732) 544-1557
Mailing address
18 VERMEER DR APT 19, SOUTH AMBOY, NJ 08879-2341
(732) 407-7895

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00616800
NJ

Other

Enumeration date
05/31/2011
Last updated
05/31/2011
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