Individual
JAY B GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1130 PROFESSIONAL CT, HAGERSTOWN, MD 21740-5852
(301) 791-5555
(301) 791-8104
Mailing address
1130 PROFESSIONAL CT, HAGERSTOWN, MD 21740-5852
(301) 791-5555
(301) 791-8104
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
D021545
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
788821000
—
MD
Enumeration date
08/10/2005
Last updated
07/13/2015
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