Individual
DR. MARJORIE A. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
725 CONCORD AVE, SUITE 4100, CAMBRIDGE, MA 02138-1040
(617) 864-8822
(617) 547-5367
Mailing address
11 RUTLEDGE RD, BELMONT, MA 02478-3322
(617) 489-6169
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
47577
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0138568
—
MA
Enumeration date
10/07/2005
Last updated
09/13/2012
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