Individual
DR. ELIZABETH S. GREDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
569 RIVER RD, FAIR HAVEN, NJ 07704-3262
(732) 530-0100
(732) 530-5895
Mailing address
PO BOX 8519, RED BANK, NJ 07701-8519
(732) 460-9840
(732) 460-9848
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB07347100
NJ
Other
Enumeration date
04/24/2008
Last updated
02/28/2018
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