Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | MD030096L | PA |
NPI | 1174769467 |
---|---|
Provider Name | Dr. Steven Greenberg |
First Address | Blue Bell, PA 19422-2466 |
Second Address | Blue Bell, PA 19422-2466 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/12/2008 |
Last Update Date | 17/12/2008 |