Provider Demographics
NPI:1558582650
Name:GREENFIELD, DANIEL P (MD, MPH, MS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:P
Last Name:GREENFIELD
Suffix:
Gender:M
Credentials:MD, MPH, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:24 LACKAWANNA PL
Mailing Address - Street 2:
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1615
Mailing Address - Country:US
Mailing Address - Phone:973-376-0026
Mailing Address - Fax:973-376-1196
Practice Address - Street 1:24 LACKAWANNA PL
Practice Address - Street 2:
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1615
Practice Address - Country:US
Practice Address - Phone:973-376-0026
Practice Address - Fax:973-376-1196
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA026658002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry