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Individual

MARC A GREENWALD

Active
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Individual

MARC A GREENWALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
220491
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0406618
EVERCARE
01
042472266
PRIVATE HEALTHCARE SYSTEM
05
2037114
MA
01
2225093
FIRST HEALTH
01
4094854
AETNA US HEALTHCARE
01
4599158
CIGNA HEALTH PLAN
01
467892
TUFTS HEALTH PLAN
01
67982
FALLON COMM HEALTH PLAN
01
784025
MVP HEALTH CARE
01
AA10928
HARVARD PILGRIM
01
J27427
BLUE SHIELD INDEMNITY
Enumeration date
02/15/2006
Last updated
05/04/2011
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