Organization
BART DE GREGORIO MD LLC
Active
Other names
LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BART DE GREGORIO MD (SENIOR PARTNER)
(973) 743-1121
Entity
Organization
Contact information
Practice address
946 BLOOMFIELD AVE, GLEN RIDGE, NJ 07028-1308
(973) 743-1121
(973) 743-2627
Mailing address
946 BLOOMFIELD AVE, GLEN RIDGE, NJ 07028
(973) 743-1121
(973) 743-2627
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7338104
—
NJ
Enumeration date
07/02/2006
Last updated
06/23/2010
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