Individual
DR. JAMES MARK GREENBLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
9 HOPE AVE STE 500, WALDEN BEHAVIORAL CARE, WALTHAM, MA 02453-2751
(781) 647-0066
(781) 899-4905
Mailing address
9 HOPE AVE, STE 500, WALTHAM, MA 02453-2751
(781) 647-2901
(781) 647-6753
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
70333
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70333
LICENSE
MA
01
—
RX2645
MEDICARE
MA
Enumeration date
03/09/2007
Last updated
03/16/2016
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