Provider Demographics
NPI:1093712218
Name:GREENFIELD, CHERYL MARSHA (MD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:MARSHA
Last Name:GREENFIELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 WAREHAM RD
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:MA
Mailing Address - Zip Code:02738-1175
Mailing Address - Country:US
Mailing Address - Phone:508-748-1313
Mailing Address - Fax:
Practice Address - Street 1:240 WAREHAM RD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:MA
Practice Address - Zip Code:02738-1175
Practice Address - Country:US
Practice Address - Phone:508-748-1313
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA477572080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA8663079002OtherCIGNA
MA0028927OtherCHAMPUS TRICARE
0034332OtherNIEGHBORHOOD HEALTH
MA201103OtherHARVARD PILGRIM
MA28621OtherCHILDRENS MEDICAL SECURIT
MA9777873Medicaid
MAJ03223OtherBLUE CROSS BLUE SHIELD
000000022153OtherBOSTON HEALTH NET
MA550194OtherAETNA US HEALTH
972410OtherNETWORK HEALTH
4222066OtherAETNA NON HMO
MA771894OtherTUFTS
MA8663079002OtherCIGNA