Provider Demographics
NPI:1053448167
Name:ESSEX ORTHOPAEDIC GROUP, P.C.
Entity Type:Organization
Organization Name:ESSEX ORTHOPAEDIC GROUP, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:GREIFINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-759-8284
Mailing Address - Street 1:36 NEWARK AVE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-4119
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:SUITE 220
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-4119
Practice Address - Country:US
Practice Address - Phone:973-759-8284
Practice Address - Fax:973-751-4156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA34734207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty