Individual
DR. DAVID W. GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
143 STATE ST, NEWBURYPORT, MA 01950-6621
(978) 462-2890
(978) 462-2890
Mailing address
143 STATE ST, NEWBURYPORT, MA 01950-6621
(978) 462-2890
(978) 462-2890
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
47625
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47625
REGISTERED PHYSICIAN
MA
Enumeration date
11/25/2005
Last updated
12/06/2011
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