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Contact Information

GREGG A PEARSON DO PC
369 SOUTH WHITE HORSE PIKE
WATERFORD WORKS, NJ08089-0849
 Phone: 609-561-5900
 Fax: 609-561-8989
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for GREGG A PEARSON DO PC

NPI Number 1164621835
LBN Legal business name GREGG A PEARSON DO PC
Authorized official GREGG PEARSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/13/2007
Last updated 07/13/2007 - About 19 years ago
Identifiers
NJ License # MB72474
NJ Medicaid 8538808
NJ Other 2158351001 AMERIHEALTH
NJ Other 2155351000 INDEPENDENCE BCBS
NJ Other 2155351000 KEYSTONE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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