Pearl, Hallie Green

Pearl, Hallie Green is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Pearl, Hallie Green can be contacted via phone (508) 334-1000.

Contact Information

Primary practice address
55 Lake Ave N Worcester MA 01655
Phone: (508) 334-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 287038 Massachusetts

Profile Details

NPI number 1952807893
LBN Legal business name Pearl, Hallie Green
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2018
Last updated Jun 10th, 2021 - about 4 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 1952807893 NPPES
Massachusetts MEDICAID 110135532A

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