MEDICARE: CYNTHIA A GRIECH-MCCLEERY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	MA58179	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	P406168	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	9573829	OTHER	CIGNA
2	15382	OTHER	UNIVERSITY HEALTHPLAN
3	880004	OTHER	AMERIHEALTH PPO
4	CA0000228	OTHER	AMERICHOICE
5	1020632	OTHER	HORIZON NJ HEALTH
6	3K6076	OTHER	HEALTHNET
8	0993264000	OTHER	AMERIHEALTH HMO, KEYSTONE, IBC
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	0578049	OTHER	AETNA

General Provider Information

NPI Number	:	1952401630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA A GRIECH-MCCLEERY MD

Provider Business Mailing Address
First Line	:	501 FELLOWSHIP RD
Second Line	:	SUITE 101
City	:	MOUNT LAUREL
State	:	NJ
Zip	:	08054-3419
Country	:	US
Telephone Number	:	856-963-3572
Fax Number	:	856-338-9211

Provider Business Practice Location Address
First Line	:	501 FELLOWSHIP RD
Second Line	:	SUITE 101
City	:	MOUNT LAUREL
State	:	NJ
Zip	:	08054-3419
Country	:	US
Telephone Number	:	856-963-3572
Fax Number	:	856-338-9211

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2006
Last Update Date	:	04/25/2016

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Directions to “ CYNTHIA A GRIECH-MCCLEERY MD” Practice Location

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