Greenberg, Matthew Jay

Greenberg, Matthew Jay is an individual health care provider with primary practice located at 130 Fisher Rd , Berlin VT 05602-9516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Greenberg, Matthew Jay can be contacted via phone (802) 371-4263.

Contact Information

Primary practice address
130 Fisher Rd Berlin VT 05602-9516
Phone: (802) 371-4263
Fax: (802) 371-4481
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5620 Alaska
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0420012005 Vermont

Profile Details

NPI number 1477765964
LBN Legal business name Greenberg, Matthew Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Oct 10th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477765964 NPPES
Vermont MEDICAID 1017746
Vermont MEDICAID MD4555
Vermont Other 001709201

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