Healthcare Provider Details

I. General information

NPI: 1013462043
Provider Name (Legal Business Name): DONNA GREENBERG L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2016
Last Update Date: 08/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 OLD YORK RD SUITE 102
WARMINSTER PA
18974-2013
US

IV. Provider business mailing address

1250 OLD YORK RD SUITE 102
WARMINSTER PA
18974-2013
US

V. Phone/Fax

Practice location:
  • Phone: 215-869-1395
  • Fax:
Mailing address:
  • Phone: 215-869-1395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAK000331L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: