Richard J Green Md Pc | |
213 Vine St Johnstown PA 15901-1518 | |
(814) 535-5841 | |
(814) 539-3424 |
Full Name | Richard J Green Md Pc |
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Speciality | Family Medicine |
Location | 213 Vine St, Johnstown, Pennsylvania |
Authorized Official Name and Position | Richard Joseph Green (DOCTOR) |
Authorized Official Contact | 8145355841 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Richard J Green Md Pc 213 Vine St Johnstown PA 15901-1518 Ph: (814) 535-5841 | Richard J Green Md Pc 213 Vine St Johnstown PA 15901-1518 Ph: (814) 535-5841 |
NPI Number | 1063693828 |
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Provider Enumeration Date | 11/21/2007 |
Last Update Date | 11/21/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063693828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD029508E (Pennsylvania) | Primary |
261QP2300X | Clinic/center - Primary Care | MD029508E (Pennsylvania) | Secondary |
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