Individual
ALEXANDER R GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
15 PARKMAN ST, WAC 6, BOSTON, MA 02114-2696
(617) 724-0909
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION INC, CHARLESTOWN, MA 02129-9142
(617) 724-0909
(617) 724-3843
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
219265
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2027402
—
MA
01
—
J26925
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/04/2005
Last updated
08/13/2012
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