Individual
WILLIAM GREENOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 550-0925
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
D04383
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
712501100
—
MD
Enumeration date
04/18/2006
Last updated
10/02/2012
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