Individual
JAMES C GREENFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
40 W FRACK ST, FRACKVILLE, PA 17931-1719
(570) 794-6123
(570) 794-6124
Mailing address
40 W FRACK ST, FRACKVILLE, PA 17931-1719
(570) 794-6123
(570) 794-6124
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS007679L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019096450006
—
PA
01
—
196646
MEDICARE ID (NEW)
PA
Enumeration date
04/19/2006
Last updated
05/21/2012
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