NPI 1639018245

Greg Corson, PEERSUPPORT

Practitioner Peer Specialist Bridgeton, NJ

Practice location

Address: 333 Irving Ave, Bridgeton, NJ 08302-2123
Phone: (856) 575-4167
Fax: (856) 575-5026

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence CPRS-51219 (NJ)

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Registry record

NPI: 1639018245
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Mar 2026
Record last updated: 27 Mar 2026

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.