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Individual

HOWARD M GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1840 AMHERST ST, WINCHESTER, VA 22601-2808
(540) 536-8000
(540) 536-7780
Mailing address
878 FOX DR, WINCHESTER, VA 22603-8613
(540) 662-8336
(540) 662-8593

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101241354
VA
207L00000X
Anesthesiology Physician
25374
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01466288
NY
Enumeration date
06/19/2006
Last updated
03/24/2021
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