Provider Demographics
NPI:1629371844
Name:GREELEY, DONALD JAMES JR (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:JAMES
Last Name:GREELEY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:365 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1111
Mailing Address - Country:US
Mailing Address - Phone:781-659-5908
Mailing Address - Fax:
Practice Address - Street 1:29 WALDEN LN
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-1555
Practice Address - Country:US
Practice Address - Phone:781-724-9155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-09
Last Update Date:2011-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA76262208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery