Provider Demographics
NPI:1043414436
Name:GREENBERG, MANDY SHER (MD)
Entity Type:Individual
Prefix:DR
First Name:MANDY
Middle Name:SHER
Last Name:GREENBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:761 MAIN AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-1080
Mailing Address - Country:US
Mailing Address - Phone:203-846-6012
Mailing Address - Fax:203-846-6014
Practice Address - Street 1:761 MAIN AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-1080
Practice Address - Country:US
Practice Address - Phone:203-846-6012
Practice Address - Fax:203-846-6014
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2013-10-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT491802086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology