Individual
DR. JOSHUA M GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2701 HOLME AVE STE 303, PHILADELPHIA, PA 19152-2029
(215) 335-3088
(215) 335-0315
Mailing address
2701 HOLME AVE STE 303, PHILADELPHIA, PA 19152-2029
(215) 335-3088
(215) 335-0315
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD428569
PA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
MD428569
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016174650001
—
PA
01
—
1245881
AETNA
PA
01
—
2690993000
KEYSTONE HEALTH PLAN EAST
PA
01
—
GR1835374
HIGHMARK
PA
Enumeration date
08/10/2005
Last updated
02/27/2019
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