Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 25MA08922500 | NJ |
N | 207XS0117X | Orthopaedic Spine Surgeon | MD435363 | PA |
NPI | 1225289903 |
---|---|
Provider Name | Dr. Robert Greenleaf |
First Address | Marlton, NJ 08053-3195 |
Second Address | Moorestown, NJ 08057-3130 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2008 |
Last Update Date | 01/06/2017 |