Jordan Michael Greenberg, PA-C
Physician Assistant in Rahway, NJ. Individual provider (NPI-1).
NPI number1376993246
StatusActive
Last updated in NPPESApr 18, 2017
Details
- NPI
- 1376993246
- Entity type
- Individual (NPI-1)
- Name
- Jordan Michael Greenberg
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2016
- Last updated
- Apr 18, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00398200 | NJ | Yes |
Practice location
865 Stone StRahway, NJ 07065-2742
Phone 732-680-7911
Mailing address
3 Century DrParsippany, NJ 07054-4610
Phone 732-680-7911
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