Grey, Glenn

Grey, Glenn is an individual health care provider with primary practice located at 703 Main St , Paterson NJ 07503-2621. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Grey, Glenn can be contacted via phone (973) 754-2790.

Contact Information

Primary practice address
703 Main St Paterson NJ 07503-2621
Phone: (973) 754-2790
Fax: (973) 754-2791
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA68163 New Jersey
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA06816300 New Jersey

Profile Details

NPI number 1558368472
LBN Legal business name Grey, Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Mar 20th, 2015 - about 10 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 1558368472 NPPES
New Jersey MEDICAID 7840900

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