Fedorcik, Gregory Gerard
Fedorcik, Gregory Gerard is an individual health care provider with primary practice located at 2 Industrial Way W , Eatontown NJ 07724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Fedorcik, Gregory Gerard can be contacted via phone (732) 542-4477.Contact Information
Primary practice address
2 Industrial Way W
Eatontown NJ 07724
Phone: (732) 542-4477
Fax: (732) 935-0355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 25MA07770000 | New Jersey |
Profile Details
| NPI number | 1164499786 |
|---|---|
| LBN Legal business name | Fedorcik, Gregory Gerard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164499786 | NPPES |
| New Jersey | MEDICAID | 0103667 |
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