Organization
DR. BRUCE G GREENFIELD DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE G GREENFIELD DOM (OWNER)
(610) 449-3344
Entity
Organization
Contact information
Practice address
2800 W TOWNSHIP LINE RD, HAVERTOWN, PA 19083-5215
(610) 449-3344
(610) 789-6753
Mailing address
2800 W TOWNSHIP LINE RD, HAVERTOWN, PA 19083-5215
(610) 449-3344
(610) 789-6753
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC0023171-1
PA
335E00000X
Prosthetic/Orthotic Supplier
SCOO2317-1
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008501870001
—
PA
Enumeration date
01/06/2010
Last updated
02/28/2017
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