Individual
DR. MICHAEL L GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1450 CHAPEL STREET, FAMILY HEALTH CENTER, NEW HAVEN, CT 06511
(203) 789-4044
Mailing address
367 CEDAR ST, ESH A-201, NEW HAVEN, CT 06510-3222
(203) 785-3327
(203) 737-7630
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
034549
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001395492
—
CT
Enumeration date
02/16/2006
Last updated
09/04/2014
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