Individual
DR. TAMARA MARIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
GW MEDICAL FACULTY ASSOCIATES, 2120 L STREET NW, STE450, WASHINGTON, DC 20037
(202) 741-3000
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101241273
VA
207P00000X
Emergency Medicine Physician
25MA075650300
NJ
207P00000X
Emergency Medicine Physician
D0094786
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12031278
CAQH
—
Enumeration date
07/19/2005
Last updated
01/05/2026
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