Individual
PHILLIP A GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104
(215) 662-6932
(215) 662-7899
Mailing address
3400 SPRUCE ST., PHILADELPHIA, PA 19104
(215) 662-6932
(215) 662-7899
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD066522L
PA
Other
Enumeration date
07/07/2006
Last updated
12/14/2012
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