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Individual

DR. CONNOR GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 601-9386
Mailing address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216

Taxonomy

Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
P30069
MD

Other

Enumeration date
06/29/2014
Last updated
06/29/2014
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