NPI 1164621835

Gregg a Pearson DO PC

Organisation Preferred Provider Organization Waterford Works, NJ

Practice location

Address: 369 South White Horse Pike, Waterford Works, NJ 08089-0849
Phone: (609) 561-5900
Fax: (609) 561-8989
Mailing address: 369 S White Horse Pike, Waterford Works, NJ 08089-0849

Authorised official

Name: Gregg a Pearson
Title: Owner
Phone: (609) 561-5900

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence MB72474 (NJ)

Other Preferred Provider Organization providers in New Jersey →

Registry record

NPI: 1164621835
Entity type: Organization
NPI issued: 13 Jul 2007
Record last updated: 13 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.