Individual
DR. MATTHEW HOWARD GREENSPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA09813200
NJ
2085R0202X
Diagnostic Radiology Physician
4301054242
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29743
COMMUNITY CHOICE OF MI
MI
01
—
300107168
RAILROAD MEDICARE
MI
01
—
4166015
MOLINA HEALTHCARE
MI
05
—
4166015
—
MI
01
—
802538
COMMUNITY CARE PLAN
MI
Enumeration date
10/02/2006
Last updated
10/25/2018
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