Individual
DR. ELIZABETHANNE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-2020
(202) 476-5700
Mailing address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-2020
(202) 476-5700
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
MD037886
DC
2080P0202X
Pediatric Cardiology Physician
MD2007-0059
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01730074
—
NY
01
—
541251
MEDICARE PART B
—
Enumeration date
09/01/2005
Last updated
02/18/2015
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