Provider Demographics
NPI:1881892321
Name:GREENWALD, EILEEN BETH (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:EILEEN
Middle Name:BETH
Last Name:GREENWALD
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
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Mailing Address - Street 1:526 RHAPSODY CT
Mailing Address - Street 2:
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21030-1915
Mailing Address - Country:US
Mailing Address - Phone:301-919-3325
Mailing Address - Fax:
Practice Address - Street 1:1419 KNECHT AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21227-1415
Practice Address - Country:US
Practice Address - Phone:410-247-9595
Practice Address - Fax:410-247-7553
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00565632083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine