Individual
DR. BRAD EVAN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
45 WELLS ST STE 204, WESTERLY, RI 02891-2927
(401) 637-7929
(860) 865-2242
Mailing address
47 COLLEGE ST, NEW HAVEN, CT 06510-3209
(401) 637-7929
(860) 865-2242
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
56273
MA
207X00000X
Orthopaedic Surgery Physician
Primary
61746
CT
207X00000X
Orthopaedic Surgery Physician
DO00392
RI
Other
Enumeration date
09/22/2006
Last updated
10/15/2018
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