Individual
DR. ELLIOT BRUCE GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2 MEDICAL CENTER DR, SUITE 206, SPRINGFIELD, MA 01107-1270
(413) 794-8484
(413) 794-8477
Mailing address
354 BIRNIE AVENUE, BAYSTATE OB GYN GROUP INC, SPRINGFIELD, MA 01107
(413) 784-8484
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
74805
MA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
074805
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3195422
—
MA
Enumeration date
08/01/2006
Last updated
02/13/2020
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