Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 243488 | NY |
Y | 208600000X | Surgeon | 243488 | NY |
N | 208200000X | Surgeon | MD424549 | PA |
N | 208600000X | Surgeon | MD424549 | PA |
NPI | 1003904681 |
---|---|
Provider Name | Dr. Patrick Joseph Greaney JR. |
First Address | Philadelphia, PA 19107-5109 |
Second Address | Philadelphia, PA 19107-5109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 30/04/2011 |