Individual
MARC A GREENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
680 CENTRE STREET, BROCKTON, MA 02302
(508) 941-7202
(508) 941-6388
Mailing address
680 CENTRE STREET, BROCKTON, MA 02302
(508) 941-7202
(508) 941-6388
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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