Individual
ERIC GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 983-7699
Mailing address
19 BOYLSTON ST, APT 2, JAMAICA PLAIN, MA 02130-2124
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
240594
MA
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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