Individual
DR. JAY S. GREENSPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
THOMAS JEFFERSON UNIVERSITY HOSPITAL, 111 S. 11TH STREET, PHILADELPHIA, PA 19107-4824
(215) 955-6000
(215) 923-9519
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD032008E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124586
—
PA
05
—
2401509
—
NJ
05
—
7301111
—
MD
Enumeration date
12/22/2006
Last updated
12/05/2012
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