Individual
SCOTT GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 PLAIN ST STE 101, PROVIDENCE, RI 02903-4828
(401) 274-5844
Mailing address
101 PLAIN ST STE 101, PROVIDENCE, RI 02903-4828
(401) 274-5844
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
278962
MA
207WX0107X
Retina Specialist (Ophthalmology) Physician
297639
NY
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
MD17520
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00274364
—
NY
Enumeration date
05/09/2015
Last updated
11/20/2023
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