MEDICARE: DR. GAIL GREENSPAN M.D.

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	MD025458E	PA

General Provider Information

NPI Number	:	1093760563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GAIL GREENSPAN M.D.

Provider Business Mailing Address
First Line	:	255 S. 17TH ST.
Second Line	:	SUITE 2900
City	:	PHILA
State	:	PA
Zip	:	19103
Country	:	US
Telephone Number	:	215-545-3530
Fax Number	:	215-545-7011

Provider Business Practice Location Address
First Line	:	255 S 17TH ST
Second Line	:	SUITE 2900
City	:	PHILA
State	:	PA
Zip	:	19103-6231
Country	:	US
Telephone Number	:	215-545-3530
Fax Number	:	215-545-7011

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

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	03/18/2013

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Directions to “ DR. GAIL GREENSPAN M.D.” Practice Location

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