Individual
THEODORE F GREEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9886 MAIN ST, DAMASCUS, MD 20872-3002
(301) 368-3660
(301) 368-3652
Mailing address
9886 MAIN ST, DAMASCUS, MD 20872-3002
(301) 368-3660
(301) 368-3652
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D43196
MD
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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