Individual
JUDITH KATHRYN GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 HOPMEADOW ST, SUITE # 100, WEATOGUE, CT 06089-9782
(860) 658-0465
Mailing address
10 SACHEMS TRL, PO BOX 383, WEST SIMSBURY, CT 06092-2525
(860) 651-8428
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
002331
CT
Other
Enumeration date
10/04/2006
Last updated
08/30/2007
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