Individual
DR. WAVERLY SYNDOR GREEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
580 SAINT JOHNSBURY RD, SUITE 25, LITTLETON, NH 03561-3437
(603) 259-7780
(603) 444-2769
Mailing address
580 SAINT JOHNSBURY RD, SUITE 25, LITTLETON, NH 03561-3437
(603) 259-7780
(603) 444-2769
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
15701
NH
207RP1001X
Pulmonary Disease Physician
9300133
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29211
BCBS-IND.
NC
05
—
7937060
—
NC
Enumeration date
09/07/2005
Last updated
09/24/2012
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