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Individual

MICHAEL S GREENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4710 S CARROLLTON AVE, NEW ORLEANS, LA 70119-6027
(504) 454-9020
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(504) 454-9020
(504) 454-9031

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
321359
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
255729100
FL
Enumeration date
08/20/2006
Last updated
03/18/2020
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