Provider Demographics
NPI:1093989089
Name:ERDMAN, GREGORY EDWIN (VMD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:EDWIN
Last Name:ERDMAN
Suffix:
Gender:M
Credentials:VMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:262 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07940-2210
Mailing Address - Country:US
Mailing Address - Phone:973-377-1515
Mailing Address - Fax:973-377-5061
Practice Address - Street 1:262 MAIN ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:NJ
Practice Address - Zip Code:07940-2210
Practice Address - Country:US
Practice Address - Phone:973-377-1515
Practice Address - Fax:973-377-5061
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ29VI00322500174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian