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Individual

WALTER GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
140 NUTT RD, PHOENIXVILLE, PA 19460-3906
(610) 983-1223
Mailing address
PO BOX 13579, READING, PA 19612-3579

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD470487
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/30/2016
Last updated
08/25/2021
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