Greenan, Timothy J

Greenan, Timothy J is an individual health care provider with primary practice located at 14915 Broschart Road Suite 102, Rockville MD 20850. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Greenan, Timothy J can be contacted via phone (301) 251-7897.

Contact Information

Primary practice address
14915 Broschart Road Suite 102 Rockville MD 20850
Phone: (301) 251-7897
Fax: (301) 251-7898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD044122E Pennsylvania
Other Service Providers / Specialist 174400000X D0041613 Maryland
Other Service Providers / Specialist 174400000X 205142 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D0041613 Maryland

Profile Details

NPI number 1073562088
LBN Legal business name Greenan, Timothy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Oct 15th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073562088 NPPES
Maryland MEDICAID 307841800
Maryland Other 300086644
Maryland MEDICAID 01853516
Maryland Other 300119922
Maryland MEDICAID 0015522500006

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