Provider Demographics
NPI:1275659997
Name:ROBERT N. GREENBERG, MD
Entity Type:Organization
Organization Name:ROBERT N. GREENBERG, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:N
Authorized Official - Last Name:GREENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-670-4959
Mailing Address - Street 1:2211 QUARRY DR
Mailing Address - Street 2:SUITE E-61
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19609-1161
Mailing Address - Country:US
Mailing Address - Phone:610-670-4959
Mailing Address - Fax:610-670-5150
Practice Address - Street 1:2211 QUARRY DR
Practice Address - Street 2:SUITE E-61
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19609-1161
Practice Address - Country:US
Practice Address - Phone:610-670-4959
Practice Address - Fax:610-670-5150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-025027-E208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02359200OtherKHPC AND KSB
PA1002821OtherMERCY
PA00020823OtherIBC
PA0790430000OtherKHPE
PA020823OtherBS
PA02359200OtherCAP BC
PA123339OtherHEALTH AMERICA HLTH ASSUR
PA39691OtherGEISINGER
PA116220OtherUNISON
PA2318194OtherAETNA
PA0009648670002Medicaid
PA7049177OtherGATEWAY
PA2318194OtherAETNA
PA=========OtherBHP
PA=========OtherAMHLTH ADMIN
PA02359200OtherKHPC AND KSB
PA0009648670002Medicaid