Individual
PATRICIA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4414 BENNING RD NE, WASHINGTON, DC 20019-4555
(202) 388-7758
Mailing address
4414 BENNING RD NE, WASHINGTON, DC 20019-4555
(202) 469-4699
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA10341200
NJ
208000000X
Pediatrics Physician
Primary
MD048038
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0635235
—
NJ
Enumeration date
04/20/2015
Last updated
06/23/2022
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