Provider Demographics
NPI:1891742219
Name:GRECO, JOSEPH ANTHONY (DC)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:ANTHONY
Last Name:GRECO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 YORK ROAD
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974
Mailing Address - Country:US
Mailing Address - Phone:215-675-8009
Mailing Address - Fax:215-675-1348
Practice Address - Street 1:144 YORK RD
Practice Address - Street 2:SUITE 100
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-4521
Practice Address - Country:US
Practice Address - Phone:215-675-8009
Practice Address - Fax:215-675-1348
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-30
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005646L111N00000X
NJ38MC00498300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2314726000OtherINDEPENDANCE BLUE CROSS
PA3031989OtherAETNA HMO
PA580686OtherBLUE CROSS/BLUE SHIELD
PA5655151OtherAETNA POS/PPO
PA232977348OtherAMERIHEALTH
PA5655151OtherAETNA POS/PPO