Greene, Carol L

Greene, Carol L is an individual health care provider with primary practice located at 22 S Greene St , Baltimore MD 21201-1544. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Greene, Carol L can be contacted via phone (410) 328-3335.

Contact Information

Primary practice address
22 S Greene St Baltimore MD 21201-1544
Phone: (410) 328-3335
Fax: (410) 328-5484
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X D61045 Maryland
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D61045 Maryland

Profile Details

NPI number 1003850058
LBN Legal business name Greene, Carol L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Aug 21st, 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 1003850058 NPPES
Maryland MEDICAID 793004601

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