Slater, Gregg Matthew
Slater, Gregg Matthew is an individual health care provider with primary practice located at 579A Cranbury Rd , East Brunswick NJ 08816-5426. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Slater, Gregg Matthew can be contacted via phone (732) 390-0040.Contact Information
Primary practice address
579A Cranbury Rd
East Brunswick NJ 08816-5426
Phone: (732) 390-0040
Fax: (732) 390-1856
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25MA08546900 | New Jersey |
Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 25MA08546900 | New Jersey |
Profile Details
NPI number | 1578717732 |
---|---|
LBN Legal business name | Slater, Gregg Matthew |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 13th, 2008 |
Last updated | Nov 25th, 2014 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578717732 | NPPES |
New Jersey | MEDICAID | 0205729 |
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