Individual
JENNA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 MOUNT AUBURN ST, 2ND FLOOR, DEPARTMENT OF SURGERY, CAMBRIDGE, MA 02138-5502
(617) 499-5150
(617) 499-5593
Mailing address
330 MOUNT AUBURN ST, 2ND FLOOR, DEPARTMENT OF SURGERY, CAMBRIDGE, MA 02138-5502
(617) 499-5150
(617) 499-5593
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA5182
MA
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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