Individual
DR. RICHARD YACKSHAW GRECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(551) 996-2625
Mailing address
601 HARRISON ST APT 210, HOBOKEN, NJ 07030-6479
(404) 840-8626
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MB09035400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
#39
—
NJ
Enumeration date
09/23/2009
Last updated
07/09/2013
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