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Individual

DR. ABRAHAM JOSEPH GREENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
7301 45TH AVE NE, SEATTLE, WA 98115-6103
(206) 522-6640
(206) 527-0147
Mailing address
7301 45TH AVE NE, SEATTLE, WA 98115-6103
(206) 522-6640
(206) 527-0147

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P000000439
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0161920133
PACIFICARE PROVIDER #
WA
01
0195472
L&I
WA
05
1056126
WA
01
141177001
GROUP HEALTH PROVIDER #
WA
01
GR4489
BLUE CROSS RIDER NUMBER
WA
Enumeration date
07/20/2006
Last updated
07/05/2010
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