Provider Demographics
NPI:1922123173
Name:GREENLEE, ALLEN TOOMBS (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:TOOMBS
Last Name:GREENLEE
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 1:1145 19TH ST NW
Mailing Address - Street 2:SUITE 800
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-3701
Mailing Address - Country:US
Mailing Address - Phone:202-833-7051
Mailing Address - Fax:202-833-7056
Practice Address - Street 1:1145 19TH ST NW
Practice Address - Street 2:SUITE 800
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-3701
Practice Address - Country:US
Practice Address - Phone:202-833-7051
Practice Address - Fax:202-833-7056
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD14309207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCP00387790OtherMADICARE RR
DC148655S07Medicare PIN
C87934Medicare UPIN