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Organization
GREEN HEALTHCARE ASSOCIATES, INC.
Active
Organization
GREEN HEALTHCARE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN DENNIS GREEN SR. M.D. (MEDICAL DIRECTOR)
(215) 452-3728
Entity
Organization
Contact information
Practice address
16 N BRYN MAWR AVE, BRYN MAWR, PA 19010-3379
(215) 452-3728
Mailing address
PO BOX 1353, 16 N BRYN MAWR AVE, BRYN MAWR, PA 19010-7353
(610) 667-2506
(610) 667-2508
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD66662L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01824270
—
PA
Enumeration date
02/13/2008
Last updated
08/18/2024
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