Individual
DR. LINDA DIANE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
850 W CHESTER PIKE, SUITE 300, HAVERTOWN, PA 19083-4439
(610) 446-4844
(610) 446-3901
Mailing address
850 W CHESTER PIKE, SUITE 300, HAVERTOWN, PA 19083-4400
(610) 446-4844
(610) 446-3901
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD020354E
PA
2080P0201X
Pediatric Allergy/Immunology Physician
MD020354E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000844653
—
PA
01
—
0036284000
INDEPENDENCE BLUE CROSS
PA
01
—
192498
BLUE SHIELD
PA
01
—
23-2571967
UNITED HEALTHCARE
PA
01
—
232571967
AETNA
PA
01
—
30102
KEYSTONE MERCY HEALTH PLA
PA
01
—
4577294
AETNA HMO
PA
01
—
5648713
CIGNA HMO
PA
01
—
787324
FIRST HEALTH
PA
01
—
A92498
AMERIHEALTH ADMINISTRATOR
PA
Enumeration date
08/31/2006
Last updated
07/19/2010
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