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Individual

MEGAN I. GREENLEAF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042-0012707
VT
207R00000X
Internal Medicine Physician
263945
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03441632
NY
05
1022079
VT
Enumeration date
03/25/2009
Last updated
07/29/2016
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