Provider Demographics
NPI:1902267966
Name:STRITTER, GREG
Entity Type:Individual
Prefix:
First Name:GREG
Middle Name:
Last Name:STRITTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 ROUTE 519
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-6237
Mailing Address - Country:US
Mailing Address - Phone:973-383-3574
Mailing Address - Fax:
Practice Address - Street 1:89 ROUTE 519
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-6237
Practice Address - Country:US
Practice Address - Phone:973-383-3574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-17
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications