Individual
EDWARD GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2200 KERNAN DR, BALTIMORE, MD 21207-6665
(410) 448-2500
(410) 448-6810
Mailing address
2200 KERNAN DR, BALTIMORE, MD 21207-6665
(410) 448-2500
(410) 448-6810
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0000029
MD
Other
Enumeration date
06/23/2006
Last updated
07/08/2007
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