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Individual

DR. DANIEL RIGHT GREENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036072134
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036072134
MEDICAID NUMBER FOR SCMG
IL
05
036072134
IL
01
406120
MEDICARE PTAN FOR SCMG
IL
01
F400195669
MEDICARE INDIVIDUAL PTAN
IL
Enumeration date
10/04/2005
Last updated
10/30/2020
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