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Organization

GREENSTEIN NEUROLOGY ASSOCIATES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY I. GREENSTEIN MD (PRESIDENT & CEO)
(267) 597-3830
Entity
Organization

Contact information

Practice address
1341 N DELAWARE AVE, SUITE 212, PHILADELPHIA, PA 19125-4300
(267) 597-3830
(267) 597-3831
Mailing address
1341 N DELAWARE AVE, SUITE 212, PHILADELPHIA, PA 19125-4300
(267) 597-3830
(267) 597-3831

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD-029200-E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102626585 0001
PA
01
1372513
BLUE SHIELD PROV#
PA
01
2066290000
KHPE PROVIDER#
PA
01
3Y2775-3556
ELDERHEALTH & HEALTHNET
PA
01
7350303
AETNA PROVIDER GROUP #
PA
01
953670
PERSONAL CHOICE PROV#
PA
01
P2669071
OXFORD PROVIDER #
PA
Enumeration date
10/10/2005
Last updated
02/28/2012
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