Gregg A Pearson Do Pc in Waterford Works - Preferred Provider Organization

Gregg A Pearson Do Pc - NPI 1164621835

Gregg A Pearson Do Pc is a Preferred Provider Organization in Waterford Works, New Jersey. Gregg A Pearson Do Pc practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Gregg A Pearson Do Pc is 1164621835. The last update date is 2007-07-13.

Gregg A Pearson Do Pc's current location address is 369 S White Horse Pike, Waterford Works, New Jersey. You can contact this provider via phone number 6095615900 and fax number 6095618989. The mailing address for Gregg A Pearson Do Pc is 369 S White Horse Pike, Waterford Works, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gregg A Pearson Do Pc
Address 369 S White Horse Pike, Waterford Works, New Jersey
Phone Number 6095615900
Fax Number 6095618989
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Pearson A Gregg
Credentials DO
Telephone Number 6095615900

NPI Number Detail

NPI Number 1164621835
Provider Enumeration Date 2007-07-13
Last Updated Date 2007-07-13

Provider Mailing Address Detail

Address 369 S White Horse Pike
City Waterford Works
State New Jersey (NJ)
Post Code 80890849
Phone Number 6095615900
Fax Number 6095618989

Provider's Primary Taxonomy Detail

Speciality Preferred Provider Organization
Taxonomy 305R00000X
Licence No MB72474
Definition:
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2155351000 NJ KEYSTONE
8538808 NJ --
2158351001 NJ AMERIHEALTH
2155351000 NJ INDEPENDENCE BCBS

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FAQs about Gregg A Pearson Do Pc

What is the unique 10-digit identification code issued to Gregg A Pearson Do Pc by the Centers for Medicare & Medicaid Services?

The Gregg A Pearson Do Pc has been assigned the NPI (National Provider Identifier) 1164621835 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Gregg A Pearson Do Pc is physically located?

The Gregg A Pearson Do Pc is physically situated at the following address: 369 S White Horse Pike, Waterford Works, NJ, 80890849.

What is Gregg A Pearson Do Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Gregg A Pearson Do Pc is Preferred Provider Organization, and the taxonomy classification code that categorizes this area of expertise is 305R00000X.

On what date was the 1164621835 assigned to Gregg A Pearson Do Pc?

The Gregg A Pearson Do Pc was issued its 1164621835 on 2007-07-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Gregg A Pearson Do Pc most recently updated?

The details pertaining to the Gregg A Pearson Do Pc, including its address, specialty, and other relevant information, were last refreshed on 2007-07-13.

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