Provider Demographics
NPI:1073734786
Name:GREENWALD, MARNI NICOLE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARNI
Middle Name:NICOLE
Last Name:GREENWALD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:101 FALL RUN RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-3747
Mailing Address - Country:US
Mailing Address - Phone:412-647-2816
Mailing Address - Fax:412-383-1807
Practice Address - Street 1:3708 5TH AVE
Practice Address - Street 2:MEDICAL ARTS BUILDING, SUITE 500
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3427
Practice Address - Country:US
Practice Address - Phone:412-647-2816
Practice Address - Fax:412-383-1807
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD427119207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine