Individual
DWAYNE LIVINGSTON GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 FOREST GLEN RD, SILVER SPRING, MD 20910-1460
(301) 942-8799
Mailing address
PO BOX 34176, BETHESDA, MD 20827-0176
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D91303
MD
207R00000X
Internal Medicine Physician
271731
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271731
—
MA
Enumeration date
06/07/2017
Last updated
01/31/2023
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