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Individual

DR. GWEN STEPHANIE GREENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
1255 S CEDAR CREST BLVD, SUITE 2900, ALLENTOWN, PA 18103-6256
(610) 437-3939
(484) 244-2862
Mailing address
1405 N CEDAR CREST BLVD, SUITE 115, ALLENTOWN, PA 18104-2308
(610) 437-3939
(484) 244-2862

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC001792L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000504203
PA
Enumeration date
03/14/2006
Last updated
11/06/2013
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