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Individual
DR. BENJAMIN GREENE
Active
Individual
DR. BENJAMIN GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080S0010X
Pediatric Sports Medicine Physician
301291
NY
2080S0010X
Pediatric Sports Medicine Physician
Primary
FG8950621
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
03/21/2017
Last updated
11/18/2021
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