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Contact Information

JASON L GREENBAUM, MD
30 SHELBURNE RD
STAMFORD, CT06902-3628
 Phone: 330-493-4443
 Fax: 330-493-8677
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JASON L GREENBAUM · (Male)

NPI Number 1649205493
Status Active
Credentials MD
Entity Individual
Enumeration date 07/11/2006
Last updated 04/21/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 44305
  • MI License # 4301082237
Hospital affiliation(s)
  • ATHOL MEMORIAL HOSPITAL - (Critical Access)
    2033 MAIN STREET
    ATHOL, MA 01331
  • COLUMBIA MEMORIAL HOSPITAL - (Acute Care)
    71 PROSPECT AVENUE
    HUDSON, NY 12534
  • JOHNSON MEMORIAL HOSPITAL - (Acute Care)
    201 CHESTNUT HILL RD
    STAFFORD SPRINGS, CT 06076
  • WHITE PLAINS HOSPITAL CENTER - (Acute Care)
    41 EAST POST R0AD
    WHITE PLAINS, NY 10601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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