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Individual

DR. MICHAEL A GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19640 CLUB HOUSE RD, #410, MONTGOMERY VILLAGE, MD 20886
(301) 963-0040
(301) 840-1504
Mailing address
19640 CLUB HOUSE RD, #410, MONTGOMERY VILLAGE, MD 20886
(301) 963-0040
(301) 840-1504

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0020425
MD

Other

Enumeration date
09/07/2006
Last updated
07/06/2010
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