| Andrew Greenberg Md Pa | |
|
4617 El Mar Dr Lauderdale By The Sea FL 33308-3635 | |
| (631) 827-7415 | |
| (954) 771-2955 |
| Full Name | Andrew Greenberg Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 4617 El Mar Dr, Lauderdale By The Sea, Florida |
| Authorized Official Name and Position | Andrew Greenberg (PRESIDENT) |
| Authorized Official Contact | 6318277415 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Greenberg Md Pa 4617 El Mar Dr Lauderdale By The Sea FL 33308-3635 Ph: (631) 827-7415 | Andrew Greenberg Md Pa 4617 El Mar Dr Lauderdale By The Sea FL 33308-3635 Ph: (631) 827-7415 |
| NPI Number | 1679880561 |
|---|---|
| Provider Enumeration Date | 09/13/2010 |
| Last Update Date | 09/13/2010 |
| Medicare PECOS PAC ID | 2466623749 |
|---|---|
| Medicare Enrollment ID | O20110916000170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679880561 | NPI | - | NPPES |
| ME100693 | Other | FL | FL MED LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME100693 (Florida) | Primary |
| Provider Name | Andrew S Greenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093745945 PECOS PAC ID: 0446339659 Enrollment ID: I20080429000754 |
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