Individual
JASON L GREENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 SHELBURNE RD, STAMFORD, CT 06902-3628
(330) 493-4443
(330) 493-8677
Mailing address
27 SUSSEX PL, STAMFORD, CT 06905-2931
(646) 242-3799
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301082237
MI
207P00000X
Emergency Medicine Physician
Primary
44305
CT
Other
Enumeration date
07/11/2006
Last updated
04/21/2020
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