Individual
MAURICE GREENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 HIGHLAND AVE, SUITE 102, SALEM, MA 01970
(978) 741-1644
(978) 744-3468
Mailing address
PO BOX 930, SALEM, MA 01970
(978) 825-6581
(978) 825-7070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44158
MA
207RI0200X
Infectious Disease Physician
44158
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2068397
—
MA
Enumeration date
05/25/2006
Last updated
02/01/2012
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