Individual
DR. JEFF M. GREENBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 662-4000
(810) 762-6245
Mailing address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 662-4000
(810) 230-0280
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301086782
MI
208M00000X
Hospitalist Physician
Primary
MD044530E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OB56031
BCBS GROUP # HMC INTERNAL
MI
Enumeration date
01/16/2007
Last updated
12/05/2017
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