Individual
DR. THOMAS ROGER GREEN
Active
Individual
DR. THOMAS ROGER GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
55094
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002301
HARVARD PILGRIM
—
01
—
008934
UNITED HEALTHCARE
—
01
—
055589000
MAGELLAN
—
01
—
104021500
DEPT OF LABOR
—
01
—
223051
MANAGED HEALTH NETWORK
—
01
—
74746020
FIRST HEALTH
—
01
—
82782
US HEALTHCARE
—
01
—
J06455
BCBS
—
01
—
T1499530
OXFORD HEALTH
—
Enumeration date
04/27/2006
Last updated
07/10/2012
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