Provider Demographics
NPI:1962457218
Name:GREENSPAN, JOSHUA L (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:L
Last Name:GREENSPAN
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 1:14 MANCHESTER SQUARE
Mailing Address - Street 2:SUITE 290
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801
Mailing Address - Country:US
Mailing Address - Phone:603-766-8500
Mailing Address - Fax:603-766-8550
Practice Address - Street 1:14 MANCHESTER SQUARE
Practice Address - Street 2:SUITE 290
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-7866
Practice Address - Country:US
Practice Address - Phone:603-766-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH13011207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME432039999Medicaid
NH3075123Medicaid
NH3075123Medicaid
NHG89959Medicare UPIN