MEDICARE: DR. KAMAL GREISS M.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
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	80238	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245325034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAMAL GREISS M.D.

Provider Business Mailing Address
First Line	:	710 OAK LN
Second Line	:
City	:	FRANKLIN LAKES
State	:	NJ
Zip	:	07417-2309
Country	:	US
Telephone Number	:	201-451-1441
Fax Number	:	201-451-1088

Provider Business Practice Location Address
First Line	:	75 MONTGOMERY ST
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-3726
Country	:	US
Telephone Number	:	201-451-1441
Fax Number	:	201-451-1088

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. KAMAL GREISS M.D.” Practice Location

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