Individual
DR. REGINALD EDWARD GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 PARKMAN ST, RADIOLOGICAL ASSOCIATES, BOSTON, MA 02114-3117
(617) 724-4254
(617) 724-0046
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-4254
(617) 724-0046
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
29504
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2038544
—
MA
01
—
724592
TUFTS HEALTH PLAN
MA
01
—
M07729
BCBS MA
MA
Enumeration date
01/04/2006
Last updated
08/16/2012
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