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NPI Code Detail

MEDICARE: GREENVILLE HOSPITAL

MEDICARE: GREENVILLE HOSPITAL
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
1207P00000XEmergency Medicine Physician

General Provider Information

NPI Number : 1447292727
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREENVILLE HOSPITAL
Provider Business Mailing Address
First Line : 1825 KENNEDY BLVD
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07305-2106
Country : US
Telephone Number : 201-770-3709
Fax Number :
Provider Business Practice Location Address
First Line : 1825 KENNEDY BLVD
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07305-2106
Country : US
Telephone Number : 201-770-3709
Fax Number :
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MR. PAUL GOLDBERG
Credential :
Telephone Number : 201-521-5920
Provider Enumeration Date : 06/12/2006
Last Update Date : 05/02/2011

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Practice Location Address:
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1639233257 — GREENVILLE HOSPITAL
Practice Location Address:
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Practice Fax: 201-770-3750

Directions to “GREENVILLE HOSPITAL ” Practice Location

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