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NPI Code Detail

MEDICARE: DR. PETER ANTHONY GRECO PH.D.

MEDICARE:  DR. PETER ANTHONY GRECO  PH.D.
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
1103TC0700XClinical Psychologist35SI002132NJ

General Provider Information

NPI Number : 1194885426
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER ANTHONY GRECO PH.D.
Provider Business Mailing Address
First Line : 577 WESTFIELD AVE
Second Line :
City : WESTFIELD
State : NJ
Zip : 07090-3373
Country : US
Telephone Number : 908-232-2005
Fax Number : 909-232-2005
Provider Business Practice Location Address
First Line : 577 WESTFIELD AVE
Second Line :
City : WESTFIELD
State : NJ
Zip : 07090-3373
Country : US
Telephone Number : 908-232-2005
Fax Number : 909-232-2005
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2006
Last Update Date : 07/08/2007

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Directions to “ DR. PETER ANTHONY GRECO PH.D.” Practice Location

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