Mark, Roger Greenwood
Mark, Roger Greenwood is an individual health care provider with primary practice located at 545A Centre St , Jamaica Plain MA 02130-2061. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mark, Roger Greenwood can be contacted via phone (617) 522-5464.Contact Information
Primary practice address
545A Centre St
Jamaica Plain MA 02130-2061
Phone: (617) 522-5464
Fax: (617) 524-2966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 29758 | Massachusetts |
Profile Details
| NPI number | 1326037219 |
|---|---|
| LBN Legal business name | Mark, Roger Greenwood |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | May 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326037219 | NPPES |
| Massachusetts | MEDICAID | 0155578 |
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