Individual
MICHAEL S GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
111 S 11TH ST STE G8490, PHILADELPHIA, PA 19107
(215) 955-6161
(215) 923-5507
Mailing address
111 S 11TH ST STE 8490, PHILADELPHIA, PA 19107-4824
(215) 955-6161
(215) 923-5507
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS013701
PA
Other
Enumeration date
05/23/2007
Last updated
09/04/2019
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