Individual
DR. SUSAN MARY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. D. M.P.H.
Contact information
Practice address
333 VALLEY RD, MIDDLETOWN, RI 02842-7230
(401) 619-1540
(401) 619-1690
Mailing address
333 VALLEY RD, MIDDLETOWN, RI 02842-7230
(401) 619-1540
(401) 619-1690
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6309
RI
2083X0100X
Occupational Medicine Physician
Primary
6309
RI
Other
Enumeration date
03/02/2007
Last updated
05/10/2011
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