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General NPI Number Information
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NPI Number | 1275870248
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Entity Type | Organization
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Legal Business Name | JEFFREY GREENBERG,MD OBGYN , P.S.C.
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Dates
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Enumeration Date | 01/11/2013
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Last Update Date | 06/05/2013
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Provider Practice Location Address
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Address Line | AVE LAGUNA LAGUNA GARDENS SHOPPING CENTER SUITE 203
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City | CAROLINA
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State | PR
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Zip | 00979-6525
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Country | US
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Telephone | 787-234-3636
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Fax |
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Provider Business Mailing Address
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Address Line | URB. VILLAS DEL SOL CALLE TORREMOLINO # 401
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City | CAROLINA
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State | PR
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Zip | 00985-5108
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Country | US
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Telephone | 787-565-8543
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY MARK GREENBERG
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Credential | M.D.
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Telephone | 787-565-8543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 14357
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License Number State | PR
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