Organization
ANDREW GREENBERG MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW GREENBERG MD (PRESIDENT)
(631) 827-7415
Entity
Organization
Contact information
Practice address
4617 EL MAR DR, LAUDERDALE BY THE SEA, FL 33308-3635
(631) 827-7415
(954) 771-2955
Mailing address
4617 EL MAR DR, LAUDERDALE BY THE SEA, FL 33308-3635
(631) 827-7415
(954) 771-2955
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME100693
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME100693
FL MED LIC
FL
Enumeration date
09/13/2010
Last updated
09/13/2010
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