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NPI Code Detail

MEDICARE: DR. LEONARD GREENWALD DPM

MEDICARE:  DR. LEONARD  GREENWALD  DPM
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
1213E00000XPodiatristE1982CA

General Provider Information

NPI Number : 1134179047
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEONARD GREENWALD DPM
Provider Business Mailing Address
First Line : 750 N CAPITOL AVE
Second Line : SUITE B3
City : SAN JOSE
State : CA
Zip : 95133-1913
Country : US
Telephone Number : 408-926-5855
Fax Number : 408-926-2544
Provider Business Practice Location Address
First Line : 750 N CAPITOL AVE
Second Line : SUITE B3
City : SAN JOSE
State : CA
Zip : 95133-1913
Country : US
Telephone Number : 408-926-5855
Fax Number : 408-926-2544
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 10/16/2007

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Directions to “ DR. LEONARD GREENWALD DPM” Practice Location

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