| 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 |
|---|---|
| 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 |
|---|---|
| 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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