| Doctor Name: | BRUCE G GREENFIELD |
| NPI Number: | 1083642219 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | SC002317-L |
| Business Practice Address: | 2800 Township Line Road Havertown, PA - 190835215 |
| Business Phone Number: | 6104493344 |
| Business Fax Number: | 6107896753 |
| Mailing Address: | 2800 Township Line Road, HAVERTOWN |
| State: | PA |
| Postal Code: | 190835215 |
| Phone Number: | 6104493344 |
| Fax Number: | 6107896753 |
| NPI Enumeration Date: | 06/28/2006 |
| NPI Last Update Date: | 12/10/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | SC002317-L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |