Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | DR0056571 | CO |
Y | 2080P0204X | Pediatric Emergency Doctor | 2021-00379 | NC |
NPI | 1003158288 |
---|---|
Provider Name | Dr. Emily Greenwald |
First Address | Durham, NC 27713-4430 |
Second Address | Aurora, CO 80045-7106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2013 |
Last Update Date | 09/06/2021 |