Organization Name: | RICHARD J. GREENE, M.D., P.C. |
NPI Number: | 1265556799 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD J. GREENE (PRESIDENT) |
Mailing Address: | 39 E Lancaster Ave Shillington |
State: | PA US |
Postal Code: | 196072631 |
Phone Number: | 6107779883 |
Fax Number: | 6107779685 |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207KA0200X |
License Number: | MD016324E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Allergy & Immunology |
Taxonomy Specialization: | Allergy |
Taxonomy Definition: |