Individual
DR. MARC STEVEN GREENBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-8400
Mailing address
14 MOSS GLEN LN, SOUTH BURLINGTON, VT 05403-7274
(802) 660-9466
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
042-0009106
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01566632
—
NY
05
—
0VN1136
—
VT
Enumeration date
11/13/2006
Last updated
07/08/2007
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