Individual
DR. BETH ILENE GREENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3 PENN PLZ E # PP-14B, NEWARK, NJ 07105-2258
(973) 466-7381
Mailing address
12 W 18TH ST, APT 9E, NEW YORK, NY 10011-4614
(212) 242-3404
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
25MA07715800
NJ
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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