Greenberg, Jeffrey J
Greenberg, Jeffrey J is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Greenberg, Jeffrey J can be contacted via phone (508) 334-3850.Contact Information
Primary practice address
55 Lake Ave N
Worcester MA 01655-0002
Phone: (508) 334-3850
Fax: (508) 334-9108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 56680 | Massachusetts |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 56680 | Massachusetts |
Profile Details
| NPI number | 1588642193 |
|---|---|
| LBN Legal business name | Greenberg, Jeffrey J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Jun 8th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588642193 | NPPES |
| Massachusetts | MEDICAID | 110044454A | |
| Massachusetts | MEDICAID | 3021815 | |
| Massachusetts | Other | J06738 |
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