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Individual

TODD GREENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
489 STATE ST, BANGOR, ME 04401-6616
(207) 482-7800
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0053167
CO
2085R0202X
Diagnostic Radiology Physician
31555
AZ
2085R0202X
Diagnostic Radiology Physician
35-077845
OH
2085R0202X
Diagnostic Radiology Physician
38341
KY
2085R0202X
Diagnostic Radiology Physician
M0739
TX
2085R0202X
Diagnostic Radiology Physician
MD00042413
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD24573
ME
2085R0202X
Diagnostic Radiology Physician
MD25383
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1063410421
ME
05
2551822
OH
Enumeration date
07/11/2005
Last updated
04/23/2021
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