Greene, Robert Joseph

Greene, Robert Joseph is an individual health care provider with primary practice located at 255 Park Ave Suite 803, Worcester MA 01609-1953. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Greene, Robert Joseph can be contacted via phone (508) 757-3803.

Contact Information

Primary practice address
255 Park Ave Suite 803 Worcester MA 01609-1953
Phone: (508) 757-3803
Fax: (508) 757-8011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X MA2121 Massachusetts

Profile Details

NPI number 1205843893
LBN Legal business name Greene, Robert Joseph
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated May 22nd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205843893 NPPES
Massachusetts MEDICAID 9709690

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