Healthcare Provider Details

I. General information

NPI: 1114954526
Provider Name (Legal Business Name): SUSAN GREENBERG,M.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 05/29/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

486 S BEACH RD
HOBE SOUND FL
33455-2705
US

IV. Provider business mailing address

486 S BEACH RD
HOBE SOUND FL
33455-2705
US

V. Phone/Fax

Practice location:
  • Phone: 737-327-7879
  • Fax: 732-530-3752
Mailing address:
  • Phone: 732-778-7977
  • Fax: 732-530-3752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: SUSAN NANCY GREENBERG
Title or Position: OWNER
Credential: MD
Phone: 732-778-7977