Organization
GREGORY J. MENIO, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY JOHN MENIO SR. M.D. (PRESIDENT)
(570) 476-2101
Entity
Organization
Contact information
Practice address
300 E BROWN ST, EAST STROUDSBURG, PA 18301-3012
(570) 476-2101
(570) 476-5646
Mailing address
300 E BROWN ST, EAST STROUDSBURG, PA 18301-3012
(570) 476-2101
(570) 476-5646
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD036469E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
605014
MEDICARE ID - TYPE UNSPECIFIED
PA
Enumeration date
12/13/2011
Last updated
12/13/2011
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