Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 25MD00362100 | NJ |
Y | 222Z00000X | Podiatrist | 25MD00362100 | NJ |
NPI | 1053816215 |
---|---|
Provider Name | Gregory Joseph Nero |
First Address | Clifton, NJ 07013-2724 |
Second Address | Clifton, NJ 07013-2724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2018 |
Last Update Date | 03/08/2021 |