Individual
JAMES MICHAEL GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
417 STATE ST, WEBBER WEST SUITE 340, BANGOR, ME 04401-6630
(207) 973-9570
(207) 973-9577
Mailing address
43 WHITING HILL RD, SUITE300, BREWER, ME 04412-1005
(207) 973-9570
(207) 973-9577
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
015117
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2180213
AETNA
ME
05
—
271550099
—
ME
01
—
3886334
CIGNA
ME
Enumeration date
09/02/2005
Last updated
12/15/2016
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