Individual
CAROL L GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-3335
(410) 328-5484
Mailing address
PO BOX 62063, BALTIMORE, MD 21264-2063
(410) 706-5181
(410) 706-5103
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
D61045
MD
208000000X
Pediatrics Physician
D61045
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
793004601
—
MD
Enumeration date
06/16/2006
Last updated
08/21/2013
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