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Individual
DR. RICHARD JOSEPH GREEN III
Active
Individual
DR. RICHARD JOSEPH GREEN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD029508
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011025510001
—
PA
01
—
001696852
HIGHMARK
PA
01
—
1035506
GATEWAY HEALTH PLAN
PA
01
—
1364035
UMWA
PA
01
—
252575
UPMC
PA
Enumeration date
08/31/2006
Last updated
12/17/2009
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