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NPI Code Detail

MEDICARE: MICHAEL S GREENBERG

MEDICARE:   MICHAEL S GREENBERG
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
1207R00000XInternal Medicine Physician321359LA

Other Identifiers

General Provider Information

NPI Number : 1164537379
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL S GREENBERG
Provider Business Mailing Address
First Line : 1395 NW 167TH ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33169-5710
Country : US
Telephone Number : 504-454-9020
Fax Number : 504-454-9031
Provider Business Practice Location Address
First Line : 4710 S CARROLLTON AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70119-6027
Country : US
Telephone Number : 504-454-9020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 03/18/2020

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Directions to “ MICHAEL S GREENBERG ” Practice Location

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