Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | MD028118E | PA |
N | 208000000X | Pediatrician | MD028118E | PA |
N | 2080P0203X | Pediatric Critical Care Doctor | MD028118E | PA |
NPI | 1023129111 |
---|---|
Provider Name | William J Greeley |
First Address | Philadelphia, PA 19107-3323 |
Second Address | Philadelphia, PA 19104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 29/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0016005540 | (05) | PA |
189532EJL | MEDICARE PTAN ANESTHESIOLOGY (01) | PA |
189532EMD | MEDICARE PTAN CRITICAL CARE MEDICINE (01) | PA |
C84158 | (02) | PA |