Doctor Name: | DR. JERRY GREENE |
NPI Number: | 1144318916 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 45681 |
Business Practice Address: | 1400 Vfw Pkwy C/o Medical Service 111 West Roxbury, MA - 02132 |
Business Phone Number: | 6173237700 |
Business Fax Number: | |
Mailing Address: | 95 Sawyer Rd, WALTHAM |
State: | MA |
Postal Code: | 024533471 |
Phone Number: | 7813922008 |
Fax Number: | 7816428867 |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 08/31/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RR0500X |
License Number: | 45681 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Rheumatology |
Taxonomy Definition: | An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |