MEDICARE: DR. CHERYL MARSHA GREENFIELD MD

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	2080A0000X	Pediatric Adolescent Medicine Physician	47757	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8663079002	OTHER	MA	CIGNA
2	MA0028927	OTHER		CHAMPUS TRICARE
3	0034332	OTHER		NIEGHBORHOOD HEALTH
4	201103	OTHER	MA	HARVARD PILGRIM
5	28621	OTHER	MA	CHILDRENS MEDICAL SECURIT
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	J03223	OTHER	MA	BLUE CROSS BLUE SHIELD
8	000000022153	OTHER		BOSTON HEALTH NET
9	550194	OTHER	MA	AETNA US HEALTH
10	972410	OTHER		NETWORK HEALTH
11	4222066	OTHER		AETNA NON HMO
12	771894	OTHER	MA	TUFTS

General Provider Information

NPI Number	:	1093712218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHERYL MARSHA GREENFIELD MD

Provider Business Mailing Address
First Line	:	240 WAREHAM RD
Second Line	:
City	:	MARION
State	:	MA
Zip	:	02738-1175
Country	:	US
Telephone Number	:	508-748-1313
Fax Number	:

Provider Business Practice Location Address
First Line	:	240 WAREHAM RD
Second Line	:
City	:	MARION
State	:	MA
Zip	:	02738-1175
Country	:	US
Telephone Number	:	508-748-1313
Fax Number	:

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

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	07/09/2007

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