Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 25MA07701400 | NJ |
NPI | 1053413500 |
---|---|
Provider Name | Dr. David Benjamin Greenberg |
First Address | Manasquan, NJ 08736-1147 |
Second Address | Manasquan, NJ 08736-1147 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2006 |
Last Update Date | 22/10/2010 |