Individual
ALYSSA MARIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-0000
Mailing address
230 CHEROKEE ST APT 2, BETHLEHEM, PA 18015-1263
(319) 389-0296
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MT217643
PA
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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