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NPI Code Detail

MEDICARE: DR. ROBERT MICHAEL GREENBERG M.D.

MEDICARE: DR. ROBERT MICHAEL GREENBERG 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
12084P0805XGeriatric Psychiatry PhysicianMAO48915NJ
22084P0805XGeriatric Psychiatry Physician140829NY
32084P0805XGeriatric Psychiatry Physician26121CT

General Provider Information

NPI Number : 1912079070
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT MICHAEL GREENBERG M.D.
Provider Business Mailing Address
First Line : 535 MORRIS AVE
Second Line :
City : SPRINGFIELD
State : NJ
Zip : 07081-1038
Country : US
Telephone Number : 201-418-1893
Fax Number :
Provider Business Practice Location Address
First Line : 535 MORRIS AVE
Second Line :
City : SPRINGFIELD
State : NJ
Zip : 07081-1038
Country : US
Telephone Number : 201-418-1893
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2006
Last Update Date : 10/01/2011

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