Individual provider · Type 1 NPI

Mary Etosha Green, MD

Anatomic Pathology & Clinical Pathology Physician · Manchester, CT

NPI number 1154827350 Active

Practice location

71 Haynes St
Manchester, CT 06040-4131

Call (860) 646-1222 Map

Fax (866) 623-8110

Mailing address

PO Box 844770
Boston, MA 02284-4770

Other practice locations

  • 64 Robbins St, Waterbury, CT 06708-2613 · (860) 646-1222
  • 31 Union St, Vernon, CT 06066-3126 · (860) 646-1222
  • One Medical Center Blvd Winston Salem, Winston Salem, NC 27157-0001 · (337) 716-9954

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Anatomic Pathology & Clinical Pathology Physician Primary 207ZP0102X74633 (CT)

Anatomic Pathology & Clinical Pathology Physician: A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, ex…

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About NPI 1154827350

Mary Etosha Green, MD's National Provider Identifier is 1154827350, issued on Apr 5, 2018. The primary taxonomy on file is Anatomic Pathology & Clinical Pathology Physician (207ZP0102X), and the practice location is in Manchester, CT. The record was last updated on Aug 14, 2023.