Individual
DR. DEBORA L GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3640 MAIN ST, SUITE 101, SPRINGFIELD, MA 01107-1145
(413) 781-9000
(413) 781-7988
Mailing address
3640 MAIN ST, SPRINGFIELD, MA 01107-1145
(413) 781-9000
(413) 781-7988
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
76421
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3098664
—
MA
Enumeration date
10/17/2006
Last updated
07/08/2013
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