Provider Demographics
NPI:1609074723
Name:GREENBERG, BRIAN L (MD)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:L
Last Name:GREENBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:136 SHERMAN AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-5210
Mailing Address - Country:US
Mailing Address - Phone:203-785-0885
Mailing Address - Fax:203-654-3216
Practice Address - Street 1:136 SHERMAN AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-5238
Practice Address - Country:US
Practice Address - Phone:203-785-0885
Practice Address - Fax:203-624-9714
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT048598207RR0500X
CAA98940207RR0500X
CT48598207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology