Individual
JEFFREY L GREENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 STANIFORD ST, SUITE 503B, BOSTON, MA 02114-2517
(617) 643-6408
Mailing address
50 STANIFORD ST, SUITE 503B, BOSTON, MA 02114-2517
(617) 643-6408
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
159405
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3191613
—
MA
Enumeration date
12/13/2005
Last updated
11/09/2010
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