Individual
DR. BRUCE D GREENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-8731
(410) 328-8315
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-8731
(410) 328-8315
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D39961
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037547900
—
DC
05
—
1801842018
—
DE
05
—
2000614000
—
WV
05
—
499101000
—
MD
01
—
527760-02 & 01
BLUE CROSS/BLUE SHIELD
MD
05
—
5851807
—
VA
Enumeration date
05/26/2006
Last updated
11/15/2010
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