Individual
DR. SCOTT A GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
35 KENNEDY DR, PUTNAM, CT 06260-1939
(860) 963-2133
(860) 963-8955
Mailing address
35 KENNEDY DR, PUTNAM, CT 06260-1939
(860) 963-2133
(860) 963-8955
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
000346
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001003467
—
CT
Enumeration date
06/30/2005
Last updated
09/03/2015
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