| Doctor Name: | JOSEFINA GREGORY |
| NPI Number: | 1073786737 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ADV. PRACTICE RN |
| License Number: | 26NJ00000100 |
| Business Practice Address: | 1700 Myrtle Ave Plainfield, NJ - 070631000 |
| Business Phone Number: | 9087536401 |
| Business Fax Number: | |
| Mailing Address: | 49 Charnwood Rd, NEW PROVIDENCE |
| State: | NJ |
| Postal Code: | 079741768 |
| Phone Number: | 9085081344 |
| Fax Number: | 9085080033 |
| NPI Enumeration Date: | 04/02/2008 |
| NPI Last Update Date: | 03/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 26NJ00000100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |