Organization
GEORGE E GREEN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE ELLIS GREEN MD (CEO)
(408) 842-4466
Entity
Organization
Contact information
Practice address
9460 N NAME UNO STE 110, GILROY, CA 95020-3536
(408) 842-4466
(408) 848-1355
Mailing address
9460 N NAME UNO STE 110, GILROY, CA 95020-3536
(408) 842-4466
(408) 848-1355
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G454410
CA
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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