Individual
MR. JACK GREINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
340 KINGSLAND ST, NUTLEY, NJ 07110-1150
(973) 761-9306
Mailing address
340 KINGSLAND ST, NUTLEY, NJ 07110-1150
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ15141400
NJ
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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