Individual
JEFFREY J GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3850
(508) 334-9108
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
56680
MA
2085R0202X
Diagnostic Radiology Physician
Primary
56680
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110044454A
—
MA
05
—
3021815
—
MA
01
—
J06738
BCBS
MA
Enumeration date
01/04/2006
Last updated
06/08/2021
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