Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 25MB09263800 | NJ |
NPI | 1043537947 |
---|---|
Provider Name | Dr. Christine Greiss |
First Address | Edison, NJ 08820-3947 |
Second Address | Edison, NJ 08820-3947 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2010 |
Last Update Date | 20/02/2015 |