Dr BRIAN PHILIP GREEN PA is a male medical professional, specializing in Dermatology. He graduated in 2005 from Philadelphia College Of Osteopathic Medicine.
UNIVERSITY OF MARYLAND DERMATOLOGISTS PA
5890 WATERLOO RD
COLUMBIA
MD
210452617
Tel: 6672171171
Npi | 1952523474 |
Pac Id | 5193713311 |
Professional Enrollment Id | I20130926000861 |
Last Name | GREEN |
First Name | BRIAN |
Middle Name | PHILIP |
Suffix | |
Gender | M |
Credential | PA |
Medical School Name | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
Graduation Year | 2005 |
Primary Specialty | DERMATOLOGY |
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Organization Legal Name | UNIVERSITY OF MARYLAND DERMATOLOGISTS PA |
Group Practice Pac Id | 7810888484 |
Number Of Group Practice Members | 11 |
Line 1 Street Address | 5890 WATERLOO RD |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | COLUMBIA |
State | MD |
Zip Code | 210452617 |
Phone Number | 6672171171 |
Hospital Affiliation Ccn 1 | 210002 |
Hospital Affiliation Lbn 1 | UNIVERSITY OF MARYLAND MEDICAL CENTER |
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Professional Accepts Medicare Assignment | Y |
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