Individual
DR. SAMUEL GREENBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 CLAVERICK ST, SUITE 100, PROVIDENCE, RI 02903-4144
(401) 490-4161
(401) 455-1292
Mailing address
55 CLAVERICK ST, SUITE 100, PROVIDENCE, RI 02903-4144
(401) 490-4161
(401) 455-1292
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
7589
RI
Other
Enumeration date
06/11/2009
Last updated
06/11/2009
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