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NPI Code Detail

MEDICARE: BRIDGET MAY GREENWALD

MEDICARE:   BRIDGET MAY GREENWALD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1023466638
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIDGET MAY GREENWALD
Provider Business Mailing Address
First Line : 1050 WALL ST W STE 200
Second Line :
City : LYNDHURST
State : NJ
Zip : 07071-3615
Country : US
Telephone Number : 201-531-2500
Fax Number :
Provider Business Practice Location Address
First Line : 1050 WALL ST W STE 200
Second Line :
City : LYNDHURST
State : NJ
Zip : 07071-3615
Country : US
Telephone Number : 201-531-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2016
Last Update Date : 05/25/2016

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Directions to “ BRIDGET MAY GREENWALD ” Practice Location

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