Individual
DR. GARY LEE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 ENTERPRISE DR, SCARBOROUGH, ME 04074-7662
(207) 289-1025
(207) 289-1028
Mailing address
400 ENTERPRISE DR, SCARBOROUGH, ME 04074-7662
(207) 289-1025
(207) 289-1028
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
013090
ME
Other
Enumeration date
01/01/2006
Last updated
06/27/2011
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