Provider Demographics
NPI:1598865271
Name:GREENMAN, RACHELLE A (MD)
Entity Type:Individual
Prefix:
First Name:RACHELLE
Middle Name:A
Last Name:GREENMAN
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 1:3 COOPER PLZ
Mailing Address - Street 2:SUITE 502
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1438
Mailing Address - Country:US
Mailing Address - Phone:856-968-7433
Mailing Address - Fax:
Practice Address - Street 1:1 COOPER PLZ
Practice Address - Street 2:COOPER UNIVERISTY EMERGENCY PHYSICIAN
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:856-342-2351
Practice Address - Fax:856-968-8272
Is Sole Proprietor?:No
Enumeration Date:2006-09-23
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA57371207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3780452OtherCIGNA
NJ2097095OtherUNITED HEALTHCARE
NJP3345591OtherOXFORD
NJ0543481000OtherAMERIHEALTH/KEYSTONE/IBC
NJ19165OtherUNIVERSITY HEALTH PLAN
NJ3551674OtherAETNA
NJ6884202Medicaid
NJ707589OtherAMERIHEALTH PPO/ PA BS
NJ01000626000OtherAMERICHOICE
NJ60005773OtherHORIZON NJ HEALTH
NJ6884202Medicaid
NJ0543481000OtherAMERIHEALTH/KEYSTONE/IBC
NJ3551674OtherAETNA