Individual
DAVID S. GREENES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 LINCOLN ST, NEEDHAM, MA 02492-2900
(781) 444-7186
(781) 449-4617
Mailing address
75 WARE RD, NEEDHAM, MA 02492-1821
(781) 455-6764
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
79518
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079518
TUFTS
MA
05
—
3164403
—
MA
01
—
3871474
AETNA
MA
01
—
7264692
CIGNA
MA
01
—
AA12465
HPHC
MA
01
—
J17075
BCBS
MA
Enumeration date
05/26/2006
Last updated
07/08/2007
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