Greenbaum, Marvin H

Greenbaum, Marvin H is an sole proprietor health care provider with primary practice located at 501 Belmont Ave , Bala Cynwyd PA 19004-1302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Greenbaum, Marvin H can be contacted via phone (610) 667-4066.

Contact Information

Primary practice address
501 Belmont Ave Bala Cynwyd PA 19004-1302
Fax: (610) 667-7955
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD026860E Pennsylvania

Profile Details

NPI number 1073620472
LBN Legal business name Greenbaum, Marvin H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2006
Last updated Sep 22nd, 2010 - about 16 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 1073620472 NPPES
Pennsylvania Other 0045485000 KEYSTONE
Pennsylvania Other 180038454 KEYSTONE
Pennsylvania Other 2156912 KEYSTONE
Pennsylvania Other 426804 KEYSTONE
Pennsylvania Other 0045485000 KEYSTONE
Pennsylvania Other AMERIHEALTH KEYSTONE

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