Provider Demographics
NPI:1699760512
Name:GRECO, JOSEPH JOHN (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:JOHN
Last Name:GRECO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:79 HIGHLAND AVE
Mailing Address - Street 2:SALEM HOSPITAL MEDICAL OFFICE BUILDING STE 101
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-2730
Mailing Address - Country:US
Mailing Address - Phone:978-744-1900
Mailing Address - Fax:978-744-3333
Practice Address - Street 1:79 HIGHLAND AVE
Practice Address - Street 2:SALEM HOSPITAL MEDICAL OFFICE BUILDING STE 101
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2730
Practice Address - Country:US
Practice Address - Phone:978-744-1900
Practice Address - Fax:978-744-3333
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA35382207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2028522Medicaid
MAD28123OtherBLUE CROSS
MA2028522Medicaid