Keith Gresham, MD
Obstetrics & Gynecology in Englewood, New Jersey
1063599215- Practice location
- 177 N Dean St, Suite 208, Englewood, NJ 07631-2533
- Phone
- 201-569-0200
- Fax
- 201-569-8287
- Last updated
- July 8, 2007
Keith Gresham is an Obstetrics & Gynecology based in Englewood, NJ. Keith Gresham practices in Englewood, NJ and has the professional credentials of MD. The NPI Number for Keith Gresham is 1063599215 and holds a License No. MA49464 (NJ). The current practice location address for Keith Gresham is 177 N Dean St, Suite 208, Englewood, NJ 07631-2533 and can be reached out via phone at 201-569-0200 and via fax at 201-569-8287.
Provider Profile Details
- NPI Number
- 1063599215
- Provider Name
- Keith Gresham
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 177 N Dean St, Suite 208, Englewood, NJ 07631-2533
- Phone Number
- 201-569-0200
- Fax Number
- 201-569-8287
- Primary Taxonomy
- Obstetrics & Gynecology · 207V00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 1, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 177 N Dean St
Suite 208
Englewood, NJ 07631-2533 - City
- Englewood
- State
- New Jersey
- Zip
- 07631-2533
- Phone Number
- 201-569-0200
- Fax Number
- 201-569-8287
Provider Business Mailing Address Details
- Address
- 177 N Dean St
Suite 208
Englewood, NJ 07631-2533 - City
- Englewood
- State
- NJ
- Zip
- 07631-2533
- Phone Number
- 201-569-0200
- Fax Number
- 201-569-8287
License Information
- License Number
- MA49464
- License State
- NJ
- Taxonomy
- Obstetrics & Gynecology · 207V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Keith Gresham, MD?
The NPI number of Keith Gresham, MD is 1063599215. It was assigned on November 1, 2006 and is currently active in the NPPES registry.
What is the specialty of Keith Gresham, MD?
Keith Gresham, MD is registered under the primary taxonomy Obstetrics & Gynecology (code 207V00000X), licensed in NJ under license number MA49464.
Where does Keith Gresham, MD practice?
The practice location is 177 N Dean St, Suite 208, Englewood, NJ 07631-2533. The office can be reached at 201-569-0200 (phone) or 201-569-8287 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063599215 directly on the NPPES registry website.