Provider Demographics
NPI:1043213499
Name:GREIFINGER, DAVID J (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:J
Last Name:GREIFINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 NEWARK AVE
Mailing Address - Street 2:STE 220
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-4121
Mailing Address - Country:US
Mailing Address - Phone:973-759-8284
Mailing Address - Fax:973-751-4156
Practice Address - Street 1:36 NEWARK AVE
Practice Address - Street 2:STE 220
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-4121
Practice Address - Country:US
Practice Address - Phone:973-759-8284
Practice Address - Fax:973-751-4156
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-31
Last Update Date:2007-07-12
Deactivation Date:2006-03-20
Deactivation Code:
Reactivation Date:2006-03-24
Provider Licenses
StateLicense IDTaxonomies
NJMA34734207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJES413OtherOXFORD
NJES413OtherOXFORD
NJ461530Medicare ID - Type Unspecified