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NPI Code Detail

MEDICARE: SIDNEY GREENBERGER

MEDICARE: SIDNEY GREENBERGER
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
1314000000XSkilled Nursing Facility20190NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942745302
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIDNEY GREENBERGER
Provider Business Mailing Address
First Line : 245 BIRCHWOOD AVE
Second Line :
City : CRANFORD
State : NJ
Zip : 07016-2510
Country : US
Telephone Number : 908-315-3400
Fax Number :
Provider Business Practice Location Address
First Line : 400 W STIMPSON AVE
Second Line :
City : LINDEN
State : NJ
Zip : 07036-4434
Country : US
Telephone Number : 908-862-3399
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2016
Last Update Date : 12/21/2016

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Directions to “ SIDNEY GREENBERGER ” Practice Location

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