Individual
ROBERT GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
720 HARRISON AVE, SUITE 707, BOSTON, MA 02118-2371
(617) 638-8456
(617) 638-8465
Mailing address
720 HARRISON AVE, SUITE 707, BOSTON, MA 02118-2371
(617) 638-8456
(617) 638-8465
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
49790
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3199916
—
MA
Enumeration date
04/06/2006
Last updated
03/14/2013
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