Organization
MARVIN H. GREENBAUM, M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH J MATHERS M.D. (OPHTHALMOLOGY)
(610) 667-4066
Entity
Organization
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG3941
RAILROAD MEDICARE
PA
Enumeration date
08/23/2006
Last updated
02/07/2025
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