Individual
ERIC JOHN GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
138 MONTROSE AVE, UNIT 32, BRYN MAWR, PA 19010-1558
(610) 525-2508
Mailing address
138 MONTROSE AVE, UNIT 32, BRYN MAWR, PA 19010-1558
(610) 525-2508
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
MA058120
PA
Other
Enumeration date
02/17/2016
Last updated
03/20/2026
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