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Individual
JACOB J GREENBERG
Active
Individual
JACOB J GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD036356L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006515590003
—
PA
01
—
0126308
UNISON
PA
01
—
0789982
OHIO MEDICAID
OH
01
—
1227982
CIGNA
PA
01
—
141909
HIGHMARK BS PA
PA
01
—
1500853
GATEWAY
PA
01
—
201048
UPMC
PA
01
—
422296
HEALTH AMERICA
PA
01
—
4230992
AETNA
PA
Enumeration date
07/24/2006
Last updated
02/12/2008
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