Individual
SHIRLEY R GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
39 PLYMOUTH ST, HOLBROOK, MA 02343-1510
(781) 767-4207
(781) 767-4281
Mailing address
39 PLYMOUTH ST, HOLBROOK, MA 02343-1510
(781) 767-4207
(781) 767-4281
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
43495
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0051709001
CIGNA
MA
01
—
04-02041
UNITED HEALTHCARE
MA
01
—
043495
TUFTS
MA
05
—
2067471
—
MA
01
—
6545
HARVARD PILGRIM HEALTH
MA
01
—
D14274
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
07/21/2006
Last updated
07/08/2007
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