MEDICARE: DR. RACHEL MORGAN GREENBERG MD

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
1	208800000X	Urology Physician	MD19078	RI

General Provider Information

NPI Number	:	1720570872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RACHEL MORGAN GREENBERG MD

Provider Business Mailing Address
First Line	:	15 DRAPER ST
Second Line	:
City	:	CANTON
State	:	MA
Zip	:	02021-2104
Country	:	US
Telephone Number	:	516-359-2943
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 S HUNTINGTON AVE
Second Line	:
City	:	JAMAICA PLAIN
State	:	MA
Zip	:	02130-4893
Country	:	US
Telephone Number	:	857-364-4414
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2018
Last Update Date	:	12/20/2024

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