Individual
EDWARD DAVID GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2722 MERRILEE DR, STE 230, FAIRFAX, VA 22031-4420
(703) 698-4444
(703) 204-0116
Mailing address
2722 MERRILEE DR, STE 230, FAIRFAX, VA 22031-4420
(703) 698-4444
(703) 204-0116
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
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