Individual
MARVIN H GREENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 BELMONT AVE, BALA CYNWYD, PA 19004-1302
(610) 667-4066
(610) 667-7955
Mailing address
501 BELMONT AVE, BALA CYNWYD, PA 19004-1302
(610) 667-4066
(610) 667-7955
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD026860E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045485000
KEYSTONE
PA
01
—
180038454
RAILROAD MEDICARE
PA
01
—
2156912
AETNA
PA
01
—
426804
BLUE SHIELD
PA
01
—
AMERIHEALTH
0045485000
PA
Enumeration date
08/23/2006
Last updated
09/22/2010
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