MEDICARE: AARON GREENWALD

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	2084P0800X	Psychiatry Physician	016516	ME

General Provider Information

NPI Number	:	1083605992
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON GREENWALD

Provider Business Mailing Address
First Line	:	1 VA CTR
Second Line	:
City	:	AUGUSTA
State	:	ME
Zip	:	04330-6795
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 VA CTR
Second Line	:
City	:	AUGUSTA
State	:	ME
Zip	:	04330-6795
Country	:	US
Telephone Number	:	207-623-8411
Fax Number	:

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

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	11/02/2023

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Directions to “ AARON GREENWALD ” Practice Location

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