Individual
DR. PAUL JAY GREENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
9291 LAUREL GROVE RD, MECHANICSVILLE, VA 23116-2969
(804) 730-7089
(804) 730-8987
Mailing address
9291 LAUREL GROVE RD, MECHANICSVILLE, VA 23116-2969
(804) 730-7089
(804) 730-8987
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
0103000793
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009332219
—
VA
01
—
195483
ANTHEM
VA
Enumeration date
11/28/2006
Last updated
11/24/2010
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