Individual
DR. TIMOTHY J GREENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14915 BROSCHART ROAD, SUITE 102, ROCKVILLE, MD 20850
(301) 251-7897
(301) 251-7898
Mailing address
14915 BROSCHART ROAD, SUITE 102, ROCKVILLE, MD 20850
(301) 251-7897
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
205142
NY
174400000X
Specialist
D0041613
MD
174400000X
Specialist
MD044122E
PA
2085R0202X
Diagnostic Radiology Physician
Primary
D0041613
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015522500006
—
PA
05
—
01853516
—
NY
01
—
300086644
MEDICARE RAILROAD
NY
01
—
300119922
MEDICARE RAILROAD
NY
05
—
307841800
—
MD
Enumeration date
05/08/2006
Last updated
10/15/2021
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