Individual
GREGORY D HEIFLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
103 PARK STREET, BUILDING B, MONTCLAIR, NJ 07042
(973) 783-4117
(973) 783-5236
Mailing address
103 PARK STREET, BUILDING B, MONTCLAIR, NJ 07042
(973) 783-4117
(973) 783-5236
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA064696NJ
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
719298
RAIL ROAD MEDICARE
NJ
Enumeration date
09/29/2006
Last updated
08/27/2011
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