Green, David Stephen

Green, David Stephen is an individual health care provider with primary practice located at 330 Baker Ave , Concord MA 01742-2129. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Green, David Stephen can be contacted via phone (978) 287-9350.

Contact Information

Primary practice address
330 Baker Ave Concord MA 01742-2129
Phone: (978) 287-9350
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 40192 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 40192 Massachusetts

Profile Details

NPI number 1598733354
LBN Legal business name Green, David Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Dec 10th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598733354 NPPES
Massachusetts MEDICAID 2064669

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