Individual
MATTHEW GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 276-4100
(401) 276-4124
Mailing address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN55573
RI
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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