Individual provider · Type 1 NPI

Eric Green, MD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1083842298 Active

Practice location

75 Francis St
Boston, MA 02115-6110

Call (617) 983-7699 Map

Mailing address

19 Boylston St, Apt 2
Jamaica Plain, MA 02130-2124

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X240594 (MA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083842298

Eric Green, MD's National Provider Identifier is 1083842298, issued on Jun 25, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Jun 25, 2009.