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Individual

HARRY GREENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
11817
NV
207ND0101X
MOHS-Micrographic Surgery Physician
11817
NV
207ND0900X
Dermatopathology Physician
11817
NV
207NP0225X
Pediatric Dermatology Physician
11817
NV
207NS0135X
Procedural Dermatology Physician
11817
NV
207R00000X
Internal Medicine Physician
11817
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1730375262
2-ORGANIZATION NPI
NV
Enumeration date
07/14/2006
Last updated
08/07/2013
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