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NPI Code Detail

MEDICARE: DR. JULIE BETH GREENBERG O.D.

MEDICARE: DR. JULIE BETH GREENBERG O.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
1152W00000XOptometristOEG001790PA

General Provider Information

NPI Number : 1558382382
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIE BETH GREENBERG O.D.
Provider Business Mailing Address
First Line : 4423 ROUTE 130 S
Second Line :
City : BURLINGTON
State : NJ
Zip : 08016-2385
Country : US
Telephone Number : 609-386-0202
Fax Number : 609-386-5927
Provider Business Practice Location Address
First Line : 4423 ROUTE 130 S
Second Line :
City : BURLINGTON
State : NJ
Zip : 08016-2385
Country : US
Telephone Number : 609-386-0202
Fax Number : 609-386-5927
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 03/14/2013

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