Healthcare Provider Details

I. General information

NPI: 1053448167
Provider Name (Legal Business Name): ESSEX ORTHOPAEDIC GROUP, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 10/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 NEWARK AVE SUITE 220
BELLEVILLE NJ
07109-4119
US

IV. Provider business mailing address

36 NEWARK AVE SUITE 220
BELLEVILLE NJ
07109-4119
US

V. Phone/Fax

Practice location:
  • Phone: 973-759-8284
  • Fax: 973-751-4156
Mailing address:
  • Phone: 973-759-8284
  • Fax: 973-751-4156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMA34734
License Number StateNJ

VIII. Authorized Official

Name: DR. DAVID J GREIFINGER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 973-759-8284