Provider Demographics
NPI:1740782671
Name:GRECO, JOSEPH (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:GRECO
Suffix:
Gender:M
Credentials:PHYSICIAN ASSISTANT
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Other - First Name:
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Mailing Address - Street 1:200 MILL RD STE 180
Mailing Address - Street 2:
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-5255
Mailing Address - Country:US
Mailing Address - Phone:508-973-2000
Mailing Address - Fax:
Practice Address - Street 1:479 SWANSEA MALL DR
Practice Address - Street 2:
Practice Address - City:SWANSEA
Practice Address - State:MA
Practice Address - Zip Code:02777-4119
Practice Address - Country:US
Practice Address - Phone:508-973-1550
Practice Address - Fax:508-973-0386
Is Sole Proprietor?:No
Enumeration Date:2018-03-07
Last Update Date:2020-04-22
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant