Individual
EDWARD DAVID GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101251267
VA
2085R0204X
Vascular & Interventional Radiology Physician
0101251267
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101251267
MEDICAL LICENSE
VA
01
—
0123
CAREFIRST BCBS
VA
05
—
3810023115
—
WV
01
—
60 241311
NY STATE MEDICAL LICENSE NUMBER
NY
01
—
8442961
AETNA HMO
VA
01
—
9188852
AETNA PPO
VA
Enumeration date
10/10/2008
Last updated
08/16/2012
Update your record
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