Individual
MARVIN H GREENBAUM
Active
Individual
MARVIN H GREENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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