Individual
DR. PETER ALEX GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
78 RIDGEWOOD DR, BANGOR, ME 04401-2652
(207) 307-8909
(207) 307-8919
Mailing address
78 RIDGEWOOD DR, BANGOR, ME 04401-2652
(207) 947-8381
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD21318
ME
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD21318
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962627927
—
WI
Enumeration date
04/16/2007
Last updated
07/16/2021
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