Individual
DR. JONATHAN PHILLIP GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBCH
Contact information
Practice address
1044 ROUTE 23 STE 208, WAYNE, NJ 07470-6685
(973) 633-9898
Mailing address
420 MOUNTAIN AVE FL 4, NEW PROVIDENCE, NJ 07974-2736
(908) 458-8333
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA11104200
NJ
207W00000X
Ophthalmology Physician
MD480594
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0787574
—
NJ
Enumeration date
07/13/2015
Last updated
11/13/2024
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