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Edward David Greenberg, MD
Vascular & Interventional Radiology Physician in Fairfax, Virginia
NPI 1780836528

Edward David Greenberg is a Vascular & Interventional Radiology Physician based in Fairfax, VA and is specialized in Vascular & Interventional Radiology. Edward David Greenberg practices in Fairfax, VA and has the professional credentials of MD. The NPI Number for Edward David Greenberg is 1780836528 and holds a License No. (Virginia).

The current practice location address for Edward David Greenberg is 2722 Merrilee Dr, Fairfax, VA and can be reached out via phone at 703-698-4444 and via fax at 703-204-0116. You can also correspond with Edward David Greenberg through the mailing address at 2722 MERRILEE DR, FAIRFAX, VA - 22031-4420 (mailing address contact number: 703-698-4444).

Location: 2722 Merrilee Dr, Fairfax, VA, 22031-4420
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780836528
Provider Name
Edward David Greenberg
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2722 Merrilee Dr, Fairfax, VA, 22031-4420
Phone Number
703-698-4444
Fax Number
703-204-0116
Provider Enumeration Date
10/10/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0123 01 VA CAREFIRST BCBS
3810023115 05 WV
60 241311 01 NY NY STATE MEDICAL LICENSE NUMBER
0101251267 01 VA MEDICAL LICENSE
8442961 01 VA AETNA HMO
9188852 01 VA AETNA PPO
institution
Provider Business Practice Location Address Details
Address
2722 Merrilee Dr
City
Fairfax
State
Virginia
Zip
22031-4420
Phone Number
703-698-4444
Fax Number
703-204-0116
person
Provider Business Mailing Address Details
Address
2722 Merrilee Dr
City
Fairfax
State
Virginia
Zip
22031-4420
Phone Number
703-698-4444
Fax Number
703-204-0116
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
0101251267 (Virginia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
0101251267 (Virginia)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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