Individual
BRUCE GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4750 E GALBRAITH RD, SUITE 207, CINCINNATI, OH 45236-6705
(513) 686-4840
(513) 686-4848
Mailing address
4750 E GALBRAITH RD, SUITE 207, CINCINNATI, OH 45236-6705
(513) 686-4840
(513) 686-4848
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35039959G
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0337826
—
OH
05
—
64047541
—
KY
01
—
P00842728
MEDICARE RR
OH
Enumeration date
04/25/2006
Last updated
08/23/2011
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