Individual
MATTHEW JAY GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 FISHER RD, BERLIN, VT 05602-9516
(802) 371-4263
(802) 371-4481
Mailing address
PO BOX 547, CENTRAL VERMONT MEDICAL CENTER - FINANCE DEPT, BARRE, VT 05641-0547
(802) 371-4263
(802) 371-4481
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0420012005
VT
207P00000X
Emergency Medicine Physician
5620
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001709201
MEDICARE PTAN LINKED TO CVMC
VT
05
—
1017746
—
VT
05
—
MD4555
—
AK
Enumeration date
05/04/2007
Last updated
10/10/2013
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