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Individual
ROBERT ALLEN GREEN
Active
Individual
ROBERT ALLEN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
017732
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010017732CT01
ANTHEM/BCBS
CT
Enumeration date
10/31/2005
Last updated
02/11/2013
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