Individual
BRIAN GREENWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 JAMES ST, EDISON, NJ 08820-3938
(732) 321-7000
(732) 321-7330
Mailing address
65 JAMES ST, EDISON, NJ 08820-3938
(732) 321-7000
(732) 321-7330
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA07073000
NJ
225400000X
Rehabilitation Practitioner
229268-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02492735
—
NY
Enumeration date
03/10/2006
Last updated
02/03/2016
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