Individual
DOUGLAS H GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2651 W MARKET ST, FAIRLAWN, OH 44333-4200
(330) 864-8008
(330) 864-1207
Mailing address
320 W EXCHANGE ST, AKRON, OH 44302-1709
(330) 535-4428
(330) 535-4451
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35-064237
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
05
—
2836579
—
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
07/10/2006
Last updated
02/04/2013
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