MEDICARE: DR. JAMES ADAM 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
1	207V00000X	Obstetrics & Gynecology Physician	74712	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	J12597	OTHER	MA	BCBS
3	724874	OTHER	MA	TUFTS HEALTH PLAN

General Provider Information

NPI Number	:	1962491456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES ADAM GREENBERG MD

Provider Business Mailing Address
First Line	:	1153 CENTRE ST
Second Line	:	SUITE 36
City	:	BOSTON
State	:	MA
Zip	:	02130-3446
Country	:	US
Telephone Number	:	617-983-7003
Fax Number	:	617-983-7499

Provider Business Practice Location Address
First Line	:	1153 CENTRE ST
Second Line	:	SUITE 36
City	:	BOSTON
State	:	MA
Zip	:	02130-3446
Country	:	US
Telephone Number	:	617-983-7003
Fax Number	:	617-983-7499

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	05/16/2012

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Directions to “ DR. JAMES ADAM GREENBERG MD” Practice Location

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