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NPI Code Detail

MEDICARE: GONI KATZ GREENBERG MD

MEDICARE: GONI KATZ GREENBERG 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
1207RN0300XNephrology PhysicianMT213657PA

General Provider Information

NPI Number : 1568971810
Entity Type Code : Individual
Provider Name (Legal Business Name) : GONI KATZ GREENBERG MD
Provider Business Mailing Address
First Line : 833 CHESTNUT ST STE 700
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19107-4410
Country : US
Telephone Number : 215-503-3000
Fax Number : 215-503-4099
Provider Business Practice Location Address
First Line : 833 CHESTNUT ST STE 700
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19107-4410
Country : US
Telephone Number : 215-503-3000
Fax Number : 215-503-4099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2017
Last Update Date : 09/28/2017

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