Individual
DR. REBECCA GREENE SAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3500 CIVIC CENTER BLVD FL 9, PHILADELPHIA, PA 19104-4395
(267) 425-3377
Mailing address
3500 CIVIC CENTER BLVD FL 9, PHILADELPHIA, PA 19104-4395
(267) 425-3377
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
MD478918
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200084474
—
MO
Enumeration date
05/01/2013
Last updated
11/11/2022
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