Provider Demographics
NPI:1427237510
Name:GREENSPRING MEDICAL ASSOCIATES
Entity type:Organization
Organization Name:GREENSPRING MEDICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:WILDMAN
Authorized Official - Last Name:ZEBLEY
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:443-524-4481
Mailing Address - Street 1:2 HAMILL RD
Mailing Address - Street 2:SUITE 222
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21210-1815
Mailing Address - Country:US
Mailing Address - Phone:443-524-4481
Mailing Address - Fax:443-524-4483
Practice Address - Street 1:2 HAMILL RD
Practice Address - Street 2:SUITE 222
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21210-1815
Practice Address - Country:US
Practice Address - Phone:443-524-4481
Practice Address - Fax:443-524-4483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-25
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD22334207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty