Organization
GREEN HEALTHCARE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN DENNIS GREEN SR. M.D. (MEDICAL DIRECTOR)
(215) 452-3728
Entity
Organization
Contact information
Practice address
16 N BRYN MAWR AVE, BRYN MAWR, PA 19010-3379
(215) 452-3728
Mailing address
PO BOX 1353, 16 N BRYN MAWR AVE, BRYN MAWR, PA 19010-7353
(610) 667-2506
(610) 667-2508
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD66662L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01824270
—
PA
Enumeration date
02/13/2008
Last updated
08/18/2024
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