Provider Demographics
NPI:1205931789
Name:GREENSTEIN, DAVID S (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:S
Last Name:GREENSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:280 MERRIMACK ST STE 311
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01843-1779
Mailing Address - Country:US
Mailing Address - Phone:978-691-5690
Mailing Address - Fax:978-691-5693
Practice Address - Street 1:138 CONANT ST
Practice Address - Street 2:1ST FL
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-1665
Practice Address - Country:US
Practice Address - Phone:978-927-5254
Practice Address - Fax:978-927-5174
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2017-10-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA81143207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0108481Y0NH01OtherANTHEM NEW HAMPSHIRE
MA400020OtherHARVARD
MA514226OtherAETNA
MA070007725OtherRAILROAD MEDICARE
MA081143OtherTUFTS
MAJ31553OtherBCBS MASSACHUSETTS
NHP00395117OtherRAILROAD MEDICARE
MAJ31553OtherBCBS MASSACHUSETTS
G03932Medicare UPIN
NHRE3712Medicare PIN