Provider Demographics
NPI:1952401630
Name:GRIECH-MCCLEERY, CYNTHIA A (MD)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:A
Last Name:GRIECH-MCCLEERY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 FELLOWSHIP RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-3419
Mailing Address - Country:US
Mailing Address - Phone:856-963-3572
Mailing Address - Fax:856-338-9211
Practice Address - Street 1:501 FELLOWSHIP RD
Practice Address - Street 2:SUITE 101
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-3419
Practice Address - Country:US
Practice Address - Phone:856-963-3572
Practice Address - Fax:856-338-9211
Is Sole Proprietor?:No
Enumeration Date:2006-09-23
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA58179207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
9573829OtherCIGNA
15382OtherUNIVERSITY HEALTHPLAN
880004OtherAMERIHEALTH PPO
CA0000228OtherAMERICHOICE
1020632OtherHORIZON NJ HEALTH
3K6076OtherHEALTHNET
P406168OtherRR MEDICARE
0993264000OtherAMERIHEALTH HMO, KEYSTONE, IBC
NJ7019602Medicaid
0578049OtherAETNA
NJ7019602Medicaid
9573829OtherCIGNA