Individual
ANDREW GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3636 HIGH ST, PORTSMOUTH, VA 23707-3236
(757) 398-2200
Mailing address
800 CRAWFORD ST APT 101, PORTSMOUTH, VA 23704-2334
(952) 212-1127
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101272008
VA
Other
Enumeration date
03/21/2017
Last updated
12/12/2023
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