Provider Demographics
NPI:1770557027
Name:GREIF, PAUL M (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:M
Last Name:GREIF
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 1:7426 SPRAGUE ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-1036
Mailing Address - Country:US
Mailing Address - Phone:860-204-9735
Mailing Address - Fax:866-800-5572
Practice Address - Street 1:7426 SPRAGUE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19119-1036
Practice Address - Country:US
Practice Address - Phone:860-204-9735
Practice Address - Fax:866-800-5572
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT034821207RP1001X, 207RC0200X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT010034821CT03OtherANTHEM PROVIDER #
CT4049483OtherAETNA PROVIDER #
CT290014327OtherRAILROAD MEDICARE #
CT2V0751OtherHEALTHNET PROVIDER #
CT4989290OtherCIGNA PROVIDER #
CT9711490OtherMASHANTUCKET PROVIDER #
CT004243276Medicaid
CT061637053OtherUNITED HEALTHCARE #
CTP391774OtherOXFORD PROVIDER #
CT741876OtherCONNECTICARE PROVIDER #
CT741876OtherCONNECTICARE PROVIDER #
CTAG9224279OtherDEA #
CT004243276Medicaid