Individual
DR. STEVEN S GREENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1528 WALNUT ST, SUITE 1101 DERMATOLOGIC SURGICAL ASSOC, PHILADELPHIA, PA 19102
(215) 735-4994
(215) 735-8473
Mailing address
1528 WALNUT ST, SUITE 1101, PHILADELPHIA, PA 19102
(215) 735-4994
(215) 735-8376
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
MD041412E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0087713000
INDEPENDENCE BLUE CROSS
PA
01
—
170232
PA BLUE SHIELD
PA
Enumeration date
10/04/2006
Last updated
07/08/2007
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