Provider Demographics
NPI:1003886177
Name:LEVINSON GREENBERG, HARIETT BRENDA (DPM)
Entity Type:Individual
Prefix:DR
First Name:HARIETT
Middle Name:BRENDA
Last Name:LEVINSON GREENBERG
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:HARIETT
Other - Middle Name:BRENDA
Other - Last Name:LEVINSON GREENBERG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:5730 EXECUTIVE DR STE 230
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-1762
Mailing Address - Country:US
Mailing Address - Phone:215-443-3850
Mailing Address - Fax:215-443-3963
Practice Address - Street 1:10000 ANNS CHOICE WAY
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-3527
Practice Address - Country:US
Practice Address - Phone:215-443-3850
Practice Address - Fax:215-443-3963
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002036L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0023141000OtherINDEPENDENCE BC/KEYSTONE-CAP
141608OtherHIGHMARK BS
611455212OtherTRICARE
PA0070457930002Medicaid
2706074OtherEVERCARE
141608OtherHIGHMARK BS
0023141000OtherINDEPENDENCE BC/KEYSTONE-CAP
2706074OtherEVERCARE
PA0070457930002Medicaid
073385Medicare PIN