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Individual
STEPHEN R GREENBERG
Active
Individual
STEPHEN R GREENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
39563
KY
2084P0800X
Psychiatry Physician
48510
MA
2084P0800X
Psychiatry Physician
Primary
G136688
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000361467
BLUE CROSS
KY
05
—
2559780
—
OH
05
—
3810002249
—
WV
05
—
64100092
—
KY
Enumeration date
06/03/2006
Last updated
04/25/2017
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