Organization
MICHAEL A GREENE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A GREENE MD PA (PRESIDENT)
(301) 963-0040
Entity
Organization
Contact information
Practice address
19640 CLUB HOUSE RD, #410, MONTGOMERY VILLAGE, MD 20886
(301) 963-0040
(301) 840-1504
Mailing address
19640 CLUB HOUSE RD, #410, MONTGOMERY VILLAGE, MD 20886
(301) 963-0040
(301) 840-1504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/07/2006
Last updated
08/22/2020
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