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Individual

JACOB J GREENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1400 LOCUST ST, MERCY HOSPITAL OF PITTSBURGH, PITTSBURGH, PA 15219
(412) 232-8111
Mailing address
PO BOX 641683, PITTSBURGH, PA 15264
(412) 232-8111
(412) 485-5250

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD036356L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006515590003
PA
01
0126308
UNISON
PA
01
0789982
OHIO MEDICAID
OH
01
1227982
CIGNA
PA
01
141909
HIGHMARK BS PA
PA
01
1500853
GATEWAY
PA
01
201048
UPMC
PA
01
422296
HEALTH AMERICA
PA
01
4230992
AETNA
PA
Enumeration date
07/24/2006
Last updated
02/12/2008
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