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Individual

DR. GEOFFREY EDWARD GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1221 MERCANTILE LANE, LARGO, MD 20774-5374
(301) 618-5578
(301) 618-5673
Mailing address
2101 EAST JEFFERSON STREET, PPQA MEDICARE COMPLIANCE UNIT 6 WEST ATTN THERESA BROOK, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD11027
DC

Other

Enumeration date
11/28/2006
Last updated
11/01/2011
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