| Organization Name: | SANDRA J. GRECO, MD, FACOG, PA |
| NPI Number: | 1053463315 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SANDRA JEANNE GRECO (PHYSICIAN) |
| Mailing Address: | 279 3rd Ave Suite 307 Long Branch |
| State: | NJ US |
| Postal Code: | 077406205 |
| Phone Number: | 7325710972 |
| Fax Number: | 7325710748 |
| NPI Enumeration Date: | 01/17/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 25MA07003900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |