Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MA04415600 | NJ |
N | 111NI0900X | Internist | MA04415600 | NJ |
N | 207U00000X | Nuclear Medicine Specialist | MA04415600 | NJ |
NPI | 1326092180 |
---|---|
Provider Name | Dr. Alan Greenberg |
First Address | Camden, NJ 08103-1155 |
Second Address | Camden, NJ 08103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 08/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2192209 | (05) | NJ |
C54146 | (02) | NJ |