Individual
DAVID STEPHEN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 BAKER AVE, CONCORD, MA 01742-2129
(978) 287-9350
Mailing address
330 BAKER AVE, CONCORD, MA 01742-2129
(978) 287-9350
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40192
MA
207RP1001X
Pulmonary Disease Physician
Primary
40192
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2064669
—
MA
Enumeration date
03/09/2006
Last updated
12/10/2013
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