Gregg, John Anthony

Gregg, John Anthony is an individual health care provider with primary practice located at 510 Hamburg Tpke Wayne Commons, Suite 101, Wayne NJ 07470-2025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gregg, John Anthony can be contacted via phone (973) 942-6005.

Contact Information

Primary practice address
510 Hamburg Tpke Wayne Commons, Suite 101 Wayne NJ 07470-2025
Fax: (973) 942-6009
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MB08249300 New Jersey

Profile Details

NPI number 1013118660
LBN Legal business name Gregg, John Anthony
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2007
Last updated May 27th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013118660 NPPES
New Jersey MEDICAID 0152757
New Jersey Other P3834330
New Jersey Other 3K7491
New Jersey Other 0175993
New Jersey Other 164231
New Jersey Other 2870423000
New Jersey Other 7305262
New Jersey Other 6048P1

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