Individual
DR. MATTHEW JASON GREENHAWT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
061080
GA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
4301088191
MI
208000000X
Pediatrics Physician
4301088191
MI
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
DR.0055929
CO
Other
Enumeration date
03/26/2007
Last updated
07/21/2020
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