Provider Demographics
NPI:1851427470
Name:GREENWALD, E. JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:E.
Middle Name:JAMES
Last Name:GREENWALD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 W 6TH ST
Mailing Address - Street 2:SUITE 2-D
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-4519
Mailing Address - Country:US
Mailing Address - Phone:775-322-2122
Mailing Address - Fax:775-322-6384
Practice Address - Street 1:350 W 6TH ST
Practice Address - Street 2:SUITE 2-D
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4519
Practice Address - Country:US
Practice Address - Phone:775-322-2122
Practice Address - Fax:775-322-6384
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3274174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist