Individual
DR. JASON HENRY GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 W ROCK AVE, NEW HAVEN, CT 06515-2218
(516) 353-9719
Mailing address
15 W ROCK AVE, NEW HAVEN, CT 06515-2218
(516) 353-9719
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
255221
NY
2080P0210X
Pediatric Nephrology Physician
Primary
54561
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/09/2009
Last updated
07/18/2016
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