| Doctor Name: | MAGDALENE GRECO |
| NPI Number: | 1629074455 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP005191C |
| Business Practice Address: | 2827 W Cheltenham Ave Wyncote, PA - 190952932 |
| Business Phone Number: | 2158848815 |
| Business Fax Number: | 2158845550 |
| Mailing Address: | 2827 W Cheltenham Ave, WYNCOTE |
| State: | PA |
| Postal Code: | 190952932 |
| Phone Number: | 2158848815 |
| Fax Number: | 2158845550 |
| NPI Enumeration Date: | 06/27/2005 |
| NPI Last Update Date: | 06/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | SP005191C |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |